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NPI 1083413892

NPI 1083413892 : HEART TO HEART THERAPY LLC : DEARBORN HEIGHTS, MI

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General NPI Number Information
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    NPI Number           |    1083413892
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEART TO HEART THERAPY LLC 
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Dates
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    Enumeration Date     |    03/12/2025
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    Last Update Date     |    09/18/2025
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Provider Practice Location Address
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    Address Line         |    24500 FORD RD STE 3 
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    City                 |    DEARBORN HEIGHTS
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    State                |    MI
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    Zip                  |    48127-3145
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    Country              |    US
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    Telephone            |    313-799-3793
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    45 TURNBERRY LN 
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    City                 |    DEARBORN
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    State                |    MI
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    Zip                  |    48120-1167
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    Country              |    US
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    Telephone            |    313-530-8786
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    Fax                  |    313-530-8786
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MRS. LOLETA LAMAR JOHNSON 
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    Credential           |    LPC
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    Telephone            |    313-530-8786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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