Healthcare Provider Details

I. General information

NPI: 1326969262
Provider Name (Legal Business Name): HEALING HEARTS BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FRONT ST STE 401
WORCESTER MA
01608-1455
US

IV. Provider business mailing address

100 FRONT ST STE 401
WORCESTER MA
01608-1455
US

V. Phone/Fax

Practice location:
  • Phone: 508-974-3655
  • Fax:
Mailing address:
  • Phone: 508-974-3655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: RASHEDAH TATUM
Title or Position: OWNER
Credential: LICSW
Phone: 774-502-0243