MEDICARE: HEALTHY HEARTS SOUND MINDS 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	1041C0700X	Clinical Social Worker
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1124973268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY HEARTS SOUND MINDS THERAPY LLC

Provider Business Mailing Address
First Line	:	15900 W 10 MILE RD STE 211
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48075-2079
Country	:	US
Telephone Number	:	586-500-0756
Fax Number	:	586-261-3163

Provider Business Practice Location Address
First Line	:	40056 CAMBRIDGE ST APT 101
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-4543
Country	:	US
Telephone Number	:	586-500-0756
Fax Number	:	586-261-3163

Authorized Official
Title or Position	:	OWNER
Name	:	SHARTISHA L HAYSLETT
Credential	:	LLMSW, QMHP, QIDP
Telephone Number	:	586-335-8486

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1952274631 — CANTON ONE PHARMACY INC
Practice Location Address:

8557 N LILLEY RD
CANTON, MI
48187-2091

Practice Phone: 734-905-0100
Practice Fax:

1275104333 — CANTON FAMILY HEALTH LLC
Practice Location Address:

6300 N HAGGERTY RD STE 220
CANTON, MI
48187-4472

Practice Phone: 313-283-1019
Practice Fax:

1588667752 — KEITH ANDREW KOBET M.D.
Practice Location Address:

7949 N CANTON CENTER RD
CANTON, MI
48187-1533

Practice Phone: 734-459-7850
Practice Fax: 734-459-5799

1679576821 — REBECCA P TISCH M.D.
Practice Location Address:

7949 N CANTON CENTER RD
CANTON, MI
48187-1533

Practice Phone: 734-459-7850
Practice Fax: 734-459-5799

1750385506 — KEITH A. KOBET, M.D., P.C.
Practice Location Address:

7949 N CANTON CENTER RD
CANTON, MI
48187-1533

Practice Phone: 734-459-7850
Practice Fax: 734-459-5799

Directions to “HEALTHY HEARTS SOUND MINDS THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.