Provider Demographics
NPI:1164299731
Name:NURTURING HEARTS, INC.
Entity Type:Organization
Organization Name:NURTURING HEARTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNTA'
Authorized Official - Middle Name:
Authorized Official - Last Name:PULLIAM-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:BCDNM, CD(DONA)
Authorized Official - Phone:814-460-3205
Mailing Address - Street 1:PO BOX 653
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16512-0653
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:32 W 8TH ST STE 505
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-1351
Practice Address - Country:US
Practice Address - Phone:814-460-5954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251B00000XAgenciesCase Management
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No305R00000XManaged Care OrganizationsPreferred Provider Organization