Healthcare Provider Details

I. General information

NPI: 1629648704
Provider Name (Legal Business Name): HEARTSTRINGS MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 S LAUREL ROAD SUITE 1
LONDON KY
40744
US

IV. Provider business mailing address

125 S LAUREL ROAD SUITE 1
LONDON KY
40744
US

V. Phone/Fax

Practice location:
  • Phone: 606-770-5086
  • Fax: 863-456-1301
Mailing address:
  • Phone: 606-770-5086
  • Fax: 863-456-1301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARY ROLLINS
Title or Position: PROVIDER/OWNER
Credential: PMHNP
Phone: 606-770-5086