HEALING HEART MOMENTS INC NPI 1215578943

NPI Information

NPI: 1215578943
Provider Name: HEALING HEART MOMENTS, INC
Classification: Counselor - 101YP1600X
Entity Type: Organization

Specialization: Pastoral

Address:
149 LEE BYRD RD STE 11
LOGANVILLE, GA
ZIP 30052
Phone: (678) 215-7236
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HEALING HEART MOMENTS, INC is a pastoral counselor in Loganville, GA. HEALING HEART MOMENTS, INC NPI is 1215578943. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

149 LEE BYRD RD STE 11
LOGANVILLE, GA
ZIP 30052-310
Phone: (678) 215-7236

The provider's authorized official is Carman Suzanne Clark .
The authorized official title is Psychologist/licensed Counselor and has the following contact phone number (678) 215-7236.

The enumeration date for this NPI number is 10/3/2019 and was last updated on 8/11/2021.

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	Primary
1	101YP2500X	Counselor	Professional	No
2	101YS0200X	Counselor	School	No
3	103G00000X	Clinical Neuropsychologist		No
4	103TC2200X	Psychologist	Clinical Child & Adolescent	No
5	103TF0200X	Psychologist	Forensic	No
6	103TH0004X	Psychologist	Health	No
7	103TP2701X	Psychologist	Group Psychotherapy	No
8	103TS0200X	Psychologist	School	No
9	251S00000X	Community/Behavioral Health		No
10	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
11	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
12	103TB0200X	Psychologist	Cognitive & Behavioral	No
13	103TC1900X	Psychologist	Counseling	No
14	101YP1600X	Counselor	Pastoral	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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