Healing Hearts Therapeutic Services, Inc
LBN: Healing Hearts Therapeutic Services, Inc
Healing Hearts Therapeutic Services, Inc is an health care organization with primary practice located at 824 Gum Branch Rd Ste E , Jacksonville NC 28540-6269. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty.
Healing Hearts Therapeutic Services, Inc can be contacted via phone (910) 347-1694, or through Shepard, Demetrious via phone (910) 347-1694.
Contact Information
Primary practice address
824 Gum Branch Rd Ste E
Jacksonville NC 28540-6269
Phone: (910) 347-1694
Fax: (910) 347-3691
Website:
Authorized official contact:
Name: Shepard, Demetrious Licensed Professional Counselor (LPC)
Phone: (910) 347-1694
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1053498683 |
|---|---|
| LBN Legal business name | Healing Hearts Therapeutic Services, Inc |
| DBA Doing business as | |
| Authorized official | Shepard, Demetrious Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 20th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053498683 | NPPES |
| North Carolina | MEDICAID | 6005845 |
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