Healthcare Provider Details

I. General information

NPI: 1053177766
Provider Name (Legal Business Name): HEALING HANDZ LUVIN HEARTZ, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8940 FOURWINDS DR STE 210
WINDCREST TX
78239-1900
US

IV. Provider business mailing address

418 AURORA BASIN
CIBOLO TX
78108-0300
US

V. Phone/Fax

Practice location:
  • Phone: 726-242-6552
  • Fax: 210-941-0642
Mailing address:
  • Phone: 210-393-8614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LATONYA ROBERTS
Title or Position: OWNER
Credential: DNP, APRN, FNP-BC
Phone: 210-393-8614