Healthcare Provider Details

I. General information

NPI: 1619881679
Provider Name (Legal Business Name): HEARTS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 S MAIN ST STE 8
FALL RIVER MA
02721-5302
US

IV. Provider business mailing address

PO BOX 577
SOMERSET MA
02726-0577
US

V. Phone/Fax

Practice location:
  • Phone: 508-962-7364
  • Fax:
Mailing address:
  • Phone: 508-962-7364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TIFFANY B LOPES
Title or Position: SOLE PROPRIETOR
Credential: LMHC
Phone: 508-962-7364