Healthcare Provider Details

I. General information

NPI: 1912890716
Provider Name (Legal Business Name): HEARTS NEED HEALING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2839 N SHERMAN BLVD
MILWAUKEE WI
53210-1702
US

IV. Provider business mailing address

2839 N SHERMAN BLVD
MILWAUKEE WI
53210-1702
US

V. Phone/Fax

Practice location:
  • Phone: 414-514-2022
  • Fax:
Mailing address:
  • Phone: 414-514-2022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LISA ADAMS-QUALLS
Title or Position: CEO
Credential:
Phone: 414-514-2022