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NPI Code Detail

MEDICARE: HEALING HEARTS COUNSELING CENTER, LLC

MEDICARE: HEALING HEARTS COUNSELING CENTER, 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
1251S00000XCommunity/Behavioral Health Agency01-7574OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104365691
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING HEARTS COUNSELING CENTER, LLC
Provider Business Mailing Address
First Line : 680 PARK AVE W
Second Line :
City : MANSFIELD
State : OH
Zip : 44906-3706
Country : US
Telephone Number : 419-528-5993
Fax Number : 567-560-5486
Provider Business Practice Location Address
First Line : 680 PARK AVE W
Second Line :
City : MANSFIELD
State : OH
Zip : 44906-3706
Country : US
Telephone Number : 419-528-5993
Fax Number : 567-560-5486
Authorized Official
Title or Position : OWNER
Name : MS. MAJA ANDERSON
Credential :
Telephone Number : 419-528-5993
Provider Enumeration Date : 02/16/2017
Last Update Date : 05/21/2026

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Directions to “HEALING HEARTS COUNSELING CENTER, LLC ” Practice Location

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