MEDICARE: CONNECTING HEARTS COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	106H00000X	Marriage & Family Therapist
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1942980503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONNECTING HEARTS COUNSELING LLC

Provider Business Mailing Address
First Line	:	3849 OAKVIEW DR STE 100
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-2207
Country	:	US
Telephone Number	:	678-789-9237
Fax Number	:	470-878-3139

Provider Business Practice Location Address
First Line	:	3849 OAKVIEW DR STE 100
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-2207
Country	:	US
Telephone Number	:	678-785-9173
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALTRENEASHA ERVIN
Credential	:	LMFT
Telephone Number	:	678-785-9173

Provider Enumeration Date	:	07/19/2023
Last Update Date	:	04/01/2026

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