Healthcare Provider Details

I. General information

NPI: 1447028709
Provider Name (Legal Business Name): ENLIGHTENED HEARTS PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 THE GRN STE B
DOVER DE
19901-3618
US

IV. Provider business mailing address

PO BOX 35
MAGNOLIA DE
19962-0035
US

V. Phone/Fax

Practice location:
  • Phone: 914-440-0772
  • Fax:
Mailing address:
  • Phone: 914-440-0772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA PICHE
Title or Position: OWNER
Credential: LCSW
Phone: 914-440-0772