Healthcare Provider Details

I. General information

NPI: 1477462133
Provider Name (Legal Business Name): HEARTH & HARBOR WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 GENEVA ST
OPELIKA AL
36801-5810
US

IV. Provider business mailing address

2100 GLENWOOD DR
OPELIKA AL
36801-2410
US

V. Phone/Fax

Practice location:
  • Phone: 334-610-7342
  • Fax:
Mailing address:
  • Phone: 334-610-7342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HEATHER LEIGH STYES
Title or Position: MENTAL HEALTH THERAPIST
Credential: LICSW
Phone: 334-610-7342