| Organization Name: | HEALING SPIRIT THERAPIES, LLC |
| NPI Number: | 1003124272 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GRACE LOUISE CULPEPPER (OWNER/PRACTITIONER) |
| Mailing Address: | 221 N East Ave #201 Fayetteville |
| State: | AR US |
| Postal Code: | 727015226 |
| Phone Number: | 4792008472 |
| Fax Number: | 4794422881 |
| NPI Enumeration Date: | 09/21/2010 |
| NPI Last Update Date: | 09/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 1729-C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |