Healthcare Provider Details

I. General information

NPI: 1851137228
Provider Name (Legal Business Name): HEART 2 HEART HEALTH AND WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2024
Last Update Date: 12/28/2024
Certification Date: 12/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 5TH AVE RM 1402
NEW YORK NY
10016-5034
US

IV. Provider business mailing address

1834 VAUXHALL RD
UNION NJ
07083-6131
US

V. Phone/Fax

Practice location:
  • Phone: 718-877-1603
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PRECIOUS JONES
Title or Position: OWNER
Credential:
Phone: 718-877-1603