Healthcare Provider Details

I. General information

NPI: 1871918763
Provider Name (Legal Business Name): HEART SMILES COUNSELING AND EDUCATION,LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2014
Last Update Date: 02/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 SUMMIT RD
CINCINNATI OH
45237-2822
US

IV. Provider business mailing address

PO BOX 32204
CINCINNATI OH
45232-0204
US

V. Phone/Fax

Practice location:
  • Phone: 513-591-0345
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAURA JONES
Title or Position: CLINICAL SOCIAL WORKER/COUNSELOR
Credential:
Phone: 513-591-0345