Healthcare Provider Details

I. General information

NPI: 1427983204
Provider Name (Legal Business Name): H.E.A.R.T FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1946 E 79TH ST APT 103
CLEVELAND OH
44103-4237
US

IV. Provider business mailing address

1946 E 79TH ST APT 103
CLEVELAND OH
44103-4237
US

V. Phone/Fax

Practice location:
  • Phone: 216-336-9081
  • Fax:
Mailing address:
  • Phone: 216-336-9081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANGIE L WILLIAMS
Title or Position: CEO
Credential:
Phone: 216-336-9081