Provider Demographics
NPI:1093326811
Name:HEALING HEARTS TO RESILIENCY
Entity Type:Organization
Organization Name:HEALING HEARTS TO RESILIENCY
Other - Org Name:HH2R
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:DR
Authorized Official - First Name:TI'ONYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:856-375-0018
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HOME
Mailing Address - State:AL
Mailing Address - Zip Code:36041-0115
Mailing Address - Country:US
Mailing Address - Phone:334-320-1449
Mailing Address - Fax:
Practice Address - Street 1:125 SEXTON DR
Practice Address - Street 2:
Practice Address - City:HONORAVILLE
Practice Address - State:AL
Practice Address - Zip Code:36042-3624
Practice Address - Country:US
Practice Address - Phone:800-484-4107
Practice Address - Fax:800-484-4107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)