MEDICARE: HEALING HEARTS

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	101YP2500X	Professional Counselor	69925	TX

General Provider Information

NPI Number	:	1588066377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HEARTS

Provider Business Mailing Address
First Line	:	7552 MAIN ST
Second Line	:	SUITE 200
City	:	THE COLONY
State	:	TX
Zip	:	75056-3448
Country	:	US
Telephone Number	:	214-801-9287
Fax Number	:

Provider Business Practice Location Address
First Line	:	7552 MAIN ST
Second Line	:	SUITE 200
City	:	THE COLONY
State	:	TX
Zip	:	75056-3448
Country	:	US
Telephone Number	:	972-662-8347
Fax Number	:

Authorized Official
Title or Position	:	OWNER/COUNSELOR
Name	:	HEATHER WHEELER
Credential	:	MS, LPC, NCC
Telephone Number	:	214-801-9287

Provider Enumeration Date	:	09/23/2014
Last Update Date	:	09/23/2014

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Directions to “HEALING HEARTS ” Practice Location

Language	Start Address	Practice Location

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