Healthcare Provider Details

I. General information

NPI: 1174454581
Provider Name (Legal Business Name): HEALING HEARTS THERAPEUTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4690 MILLENNIUM DR FL 3
BELCAMP MD
21017-1523
US

IV. Provider business mailing address

1013 BEARDS HILL RD SUITE 101 MB 138
ABERDEEN MD
21001-2295
US

V. Phone/Fax

Practice location:
  • Phone: 443-440-5040
  • Fax:
Mailing address:
  • Phone: 443-440-5040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY ACOSTA
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 443-440-5040