MEDICARE: HEART COUNSELING PLLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1538050794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART COUNSELING PLLC

Provider Business Mailing Address
First Line	:	712 VISTA BLVD # 171
Second Line	:
City	:	WACONIA
State	:	MN
Zip	:	55387-4559
Country	:	US
Telephone Number	:	952-777-5265
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 MADISON ST SE
Second Line	:
City	:	WATERTOWN
State	:	MN
Zip	:	55388-9264
Country	:	US
Telephone Number	:	952-777-5265
Fax Number	:

Authorized Official
Title or Position	:	OWNER/FOUNDER
Name	:	AMY LYNN NOAKES
Credential	:	MA, LPCC
Telephone Number	:	952-777-5265

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	07/14/2025

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