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HEALING HEARTS COUNSELING CENTER NPI 1104365691


NPI Information

NPI: 1104365691
Provider Name: HEALING HEARTS COUNSELING CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 36D2128064

Address:
680 PARK AVE W
MANSFIELD, OH
ZIP 44906
Phone: (419) 528-5993
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HEALING HEARTS COUNSELING CENTER is a community behavioral health in Mansfield, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. HEALING HEARTS COUNSELING CENTER NPI is 1104365691. The provider is registered as an organization entity type.

The provider's business location address is:

680 PARK AVE W
MANSFIELD, OH
ZIP 44906-706
Phone: (419) 528-5993
Fax: (567) 560-5486

The provider's authorized official is Maja Anderson .
The authorized official title is Owner and has the following contact phone number (419) 528-5993.

The CLIA number assigned to this NPI record is 36D2128064 - other - behavioral health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2017 and was last updated on 2/16/2017.


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
1251S00000XCommunity/Behavioral Health01-7574OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10134918MEDICAIDOHIO

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

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