Provider Demographics
NPI:1225819295
Name:HEARTFUL WAY COUNSELING, LLC
Entity Type:Organization
Organization Name:HEARTFUL WAY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:M B
Authorized Official - Last Name:CHOUTEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPCC-S
Authorized Official - Phone:937-858-6281
Mailing Address - Street 1:2234 ENGLISH OAK CT
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-4548
Mailing Address - Country:US
Mailing Address - Phone:937-858-6281
Mailing Address - Fax:937-998-3964
Practice Address - Street 1:7061 CORPORATE WAY STE 205
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4273
Practice Address - Country:US
Practice Address - Phone:937-858-6281
Practice Address - Fax:937-998-3964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty