Healthcare Provider Details

I. General information

NPI: 1831781327
Provider Name (Legal Business Name): HEALING HEARTS 4 REAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2021
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 CLOVERDALE DRIVE SUITE A
AUBURN AL
36830
US

IV. Provider business mailing address

4171 LOMAC ST STE F #1155
MONTGOMERY AL
36106-2945
US

V. Phone/Fax

Practice location:
  • Phone: 404-955-7296
  • Fax:
Mailing address:
  • Phone: 404-955-7296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIYANA MARIE ZACHERY
Title or Position: CEO
Credential: LMFT, MAFP
Phone: 404-955-7296