Healthcare Provider Details

I. General information

NPI: 1154231413
Provider Name (Legal Business Name): HEART CENTERED COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1166 E WARNER RD STE 218
GILBERT AZ
85296-3066
US

IV. Provider business mailing address

1166 E WARNER RD STE 218
GILBERT AZ
85296-3066
US

V. Phone/Fax

Practice location:
  • Phone: 480-331-2412
  • Fax:
Mailing address:
  • Phone: 480-331-2412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: HEATHER FERNANDEZ
Title or Position: OWNER/THERAPIST
Credential: LMFT
Phone: 480-232-1087