MEDICARE: INNER HEALING OF THE HEART 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	:	1710715388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNER HEALING OF THE HEART PLLC

Provider Business Mailing Address
First Line	:	64 ORLAND SQUARE DR STE 112
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-6543
Country	:	US
Telephone Number	:	708-971-7812
Fax Number	:

Provider Business Practice Location Address
First Line	:	64 ORLAND SQUARE DR STE 112
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60462-6543
Country	:	US
Telephone Number	:	708-971-7812
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MRS. FATIMAH HISHMEH
Credential	:	LCPC
Telephone Number	:	708-971-7812

Provider Enumeration Date	:	07/24/2024
Last Update Date	:	12/09/2025

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