MEDICARE: HEARTFELT HOPE AND HEALING COUNSELING SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1285512699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTFELT HOPE AND HEALING COUNSELING SERVICES PLLC

Provider Business Mailing Address
First Line	:	140 S MAIN ST STE 19
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-3058
Country	:	US
Telephone Number	:	901-308-6991
Fax Number	:	901-231-7905

Provider Business Practice Location Address
First Line	:	140 S MAIN ST STE 19
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-3058
Country	:	US
Telephone Number	:	901-308-6991
Fax Number	:	901-231-7905

Authorized Official
Title or Position	:	OWNER / THERAPIST
Name	:	MRS. SHADEAU LEA RHODES
Credential	:	LCSW
Telephone Number	:	901-308-6991

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	04/14/2026

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