Healthcare Provider Details

I. General information

NPI: 1790617033
Provider Name (Legal Business Name): HEALING HEARTS EVALUATION & COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4867 SNIPE RD
PACE FL
32571-8845
US

IV. Provider business mailing address

4867 SNIPE RD
PACE FL
32571-8845
US

V. Phone/Fax

Practice location:
  • Phone: 850-390-3411
  • Fax:
Mailing address:
  • Phone: 850-390-3411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE BROWNFIELD
Title or Position: COUNSELOR
Credential: LMHC
Phone: 850-390-3411