MEDICARE: HEART TO HEART THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1083413892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART TO HEART THERAPY LLC

Provider Business Mailing Address
First Line	:	45 TURNBERRY LN
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1167
Country	:	US
Telephone Number	:	313-530-8786
Fax Number	:	313-530-8786

Provider Business Practice Location Address
First Line	:	24500 FORD RD STE 3
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3145
Country	:	US
Telephone Number	:	313-799-3793
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. LOLETA LAMAR JOHNSON
Credential	:	LPC
Telephone Number	:	313-530-8786

Provider Enumeration Date	:	03/12/2025
Last Update Date	:	09/18/2025

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Directions to “HEART TO HEART THERAPY LLC ” Practice Location

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