Provider Demographics
NPI:1275776569
Name:HEALING HEARTS THERAPY SERVICES
Entity Type:Organization
Organization Name:HEALING HEARTS THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:FINNEY
Authorized Official - Last Name:BREWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-734-7597
Mailing Address - Street 1:704 N LAFAYETTE ST APT 8
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3857
Mailing Address - Country:US
Mailing Address - Phone:704-830-7840
Mailing Address - Fax:
Practice Address - Street 1:704 N LAFAYETTE ST APT 8
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3857
Practice Address - Country:US
Practice Address - Phone:704-830-7840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health