Healthcare Provider Details

I. General information

NPI: 1346163938
Provider Name (Legal Business Name): HEART HEALING THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11480 RHYME AVE
ORLANDO FL
32832-6673
US

IV. Provider business mailing address

PO BOX 423514
KISSIMMEE FL
34742-3514
US

V. Phone/Fax

Practice location:
  • Phone: 407-698-7650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SANDY MICHAEL
Title or Position: LMHC, NCC
Credential:
Phone: 407-698-7650