| Organization Name: | HEALING BALM MINISTRIES OF NORTHEAST FLORIDA |
| NPI Number: | 1568712495 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LATRECE M ROWELL (CEO/EXECUTIVE DIRECTOR) |
| Mailing Address: | 96098 Victorias Pl Yulee |
| State: | FL US |
| Postal Code: | 320976349 |
| Phone Number: | 9043214097 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2012 |
| NPI Last Update Date: | 09/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | N01000001168 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |