Provider Demographics
NPI:1053922096
Name:THERAPY FOR HEALING, LLC
Entity type:Organization
Organization Name:THERAPY FOR HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RN, LMFT
Authorized Official - Phone:682-552-6191
Mailing Address - Street 1:PO BOX 375
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76095-0375
Mailing Address - Country:US
Mailing Address - Phone:682-552-6191
Mailing Address - Fax:844-362-3864
Practice Address - Street 1:1109 CHEEK SPARGER RD STE 100
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-4199
Practice Address - Country:US
Practice Address - Phone:682-552-6191
Practice Address - Fax:844-362-3864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty