Healthcare Provider Details

I. General information

NPI: 1174469894
Provider Name (Legal Business Name): HEARTS FULL OF HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 MERRILL AVE
CALUMET CITY IL
60409-2227
US

IV. Provider business mailing address

391 MERRILL AVE
CALUMET CITY IL
60409-2227
US

V. Phone/Fax

Practice location:
  • Phone: 773-712-1210
  • Fax:
Mailing address:
  • Phone: 773-712-1210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: VALERIE BARNES
Title or Position: CEO
Credential: LCSW
Phone: 773-490-7864