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NPI Code Detail

MEDICARE: HEAL WITH HEART LLC

MEDICARE: HEAL WITH HEART 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1205653128
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEAL WITH HEART LLC
Provider Business Mailing Address
First Line : 6834 CANTRELL RD # 2694
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72207-4135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 407 CEDARWOOD ST
Second Line :
City : HOT SPRINGS NATIONAL PARK
State : AR
Zip : 71901-8123
Country : US
Telephone Number : 520-342-6213
Fax Number :
Authorized Official
Title or Position : PMHNP
Name : EMILY H HEALY
Credential : DNP, PMHNP
Telephone Number : 520-342-6213
Provider Enumeration Date : 09/23/2024
Last Update Date : 09/23/2024

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Directions to “HEAL WITH HEART LLC ” Practice Location

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