Provider Demographics
NPI:1275900441
Name:HEALING HEART COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:HEALING HEART COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:YASMINE
Authorized Official - Middle Name:DECLAMA
Authorized Official - Last Name:HOLBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-313-5842
Mailing Address - Street 1:7041 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1601
Mailing Address - Country:US
Mailing Address - Phone:561-313-5842
Mailing Address - Fax:
Practice Address - Street 1:3800 INVERRARY BLVD
Practice Address - Street 2:SUITE 308Q
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4382
Practice Address - Country:US
Practice Address - Phone:561-313-5842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2016-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW128611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty