HEART & SOUL WELLNESS NPI 1083362149

NPI Information

NPI: 1083362149
Provider Name: HEART & SOUL WELLNESS
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5 LATIMER ST
HAZLEHURST, GA
ZIP 31539
Phone: (912) 500-9207
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HEART & SOUL WELLNESS is a mental health (including community mental health center) clinic center in Hazlehurst, GA. HEART & SOUL WELLNESS NPI is 1083362149. The provider is registered as an organization entity type.

The provider's business location address is:

5 LATIMER ST
HAZLEHURST, GA
ZIP 31539-111
Phone: (912) 500-9207
Fax: (432) 200-9558

The provider's authorized official is Dondi Nichole Little .
The authorized official title is Office Coordinator and has the following contact phone number (912) 500-9207.

The enumeration date for this NPI number is 3/16/2022 and was last updated on 7/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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