Healing Headquarters INC

NPI #1174411193 in Theodore, Alabama

Provider Information

NPI Number: 1174411193
Entity Type: Organization
Organization Name: Healing Headquarters INC
Primary Specialty: Family Medicine
Enumeration Date: Jun 26, 2025
Last Updated: Jun 26, 2025

Practice Location

Address: 7170 SUNSET LN
City: Theodore
State: Alabama
ZIP Code: 36582-8080
Phone: (251) 202-3209

Authorized Official

Name: TYLER STOUT
Title: DIRECTOR
Phone: (337) 315-7927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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