Provider Demographics
NPI:1134510464
Name:HEARTFUL HEALING LLC
Entity Type:Organization
Organization Name:HEARTFUL HEALING LLC
Other - Org Name:HEARTFUL HEALING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZEMAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-485-2952
Mailing Address - Street 1:281 SUMMERHILL RD
Mailing Address - Street 2:205A
Mailing Address - City:E BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4279
Mailing Address - Country:US
Mailing Address - Phone:732-210-2372
Mailing Address - Fax:
Practice Address - Street 1:281 SUMMERHILL RD
Practice Address - Street 2:205A
Practice Address - City:E BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-4279
Practice Address - Country:US
Practice Address - Phone:732-210-2372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty