MEDICARE: COMFORTING HEARTS COUNSELING SOLUTIONS,LLC

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	:	1538866090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORTING HEARTS COUNSELING SOLUTIONS,LLC

Provider Business Mailing Address
First Line	:	20927 BEAUFAIT ST
Second Line	:
City	:	HARPER WOODS
State	:	MI
Zip	:	48225-1600
Country	:	US
Telephone Number	:	313-799-9251
Fax Number	:

Provider Business Practice Location Address
First Line	:	607 SHELBY ST STE 700
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48226-3282
Country	:	US
Telephone Number	:	313-799-9251
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH THERAPIST
Name	:	MRS. SINITA RENA HANKINS
Credential	:	LMSW
Telephone Number	:	313-799-9251

Provider Enumeration Date	:	02/14/2023
Last Update Date	:	03/16/2023

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