Provider Demographics
NPI:1881554145
Name:HEALING MINDS HEALING UNITY TRAINING & DEV
Entity type:Organization
Organization Name:HEALING MINDS HEALING UNITY TRAINING & DEV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-258-8869
Mailing Address - Street 1:12047 NE GLENN WIDING DR # 55351
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97220-9050
Mailing Address - Country:US
Mailing Address - Phone:971-258-8869
Mailing Address - Fax:
Practice Address - Street 1:12047 NE GLENN WIDING DR # 55351
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-9050
Practice Address - Country:US
Practice Address - Phone:971-258-8869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health