Organization Name: | HEALING WATERS COUNSELING CENTER |
NPI Number: | 1124329388 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRADLEY TODD KINDER (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 1113 Cedar Valley Dr. Cedar Bluff |
State: | VA US |
Postal Code: | 24609 |
Phone Number: | 2769630111 |
Fax Number: | 2769630005 |
NPI Enumeration Date: | 11/04/2010 |
NPI Last Update Date: | 06/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |