Healthcare Provider Details

I. General information

NPI: 1275268229
Provider Name (Legal Business Name): HEART OF THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2022
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 S MAIN ST STE 213
DOYLESTOWN PA
18901-4873
US

IV. Provider business mailing address

350 S MAIN ST STE 213
DOYLESTOWN PA
18901-4873
US

V. Phone/Fax

Practice location:
  • Phone: 267-261-2228
  • Fax:
Mailing address:
  • Phone: 267-261-2228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. AMANDA JOHNS
Title or Position: OWNER
Credential: DSW, LCSW
Phone: 267-261-2228