| Organization Name: | HEALING ROOM INC. |
| NPI Number: | 1033501523 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHERINE GATES-MOORE (CO-OWNER) |
| Mailing Address: | 2023 Cato Ave Suite 101 State College |
| State: | PA US |
| Postal Code: | 168012765 |
| Phone Number: | 8145994124 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2015 |
| NPI Last Update Date: | 03/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC006863 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |