Healthcare Provider Details

I. General information

NPI: 1720523384
Provider Name (Legal Business Name): H.E.A.R.T COUNSELING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 05/04/2023
Certification Date: 05/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10327 WASHINGTON ST
THORNTON CO
80229-2003
US

IV. Provider business mailing address

10327 WASHINGTON ST
THORNTON CO
80229-2003
US

V. Phone/Fax

Practice location:
  • Phone: 720-379-6995
  • Fax:
Mailing address:
  • Phone: 720-379-6995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1833-00
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLE DION FESTA
Title or Position: OWNER THERAPIST
Credential: MA, LAC, LPCC, NCC
Phone: 720-379-6995