Provider Demographics
NPI:1285822486
Name:HELPING HANDS HEALING HEARTS
Entity Type:Organization
Organization Name:HELPING HANDS HEALING HEARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARI
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:618-791-1997
Mailing Address - Street 1:6400 W MAIN ST
Mailing Address - Street 2:STE. 1Q
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62223-3806
Mailing Address - Country:US
Mailing Address - Phone:618-791-1997
Mailing Address - Fax:618-222-7949
Practice Address - Street 1:6400 W MAIN ST
Practice Address - Street 2:STE. 1Q
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62223-3806
Practice Address - Country:US
Practice Address - Phone:618-791-1997
Practice Address - Fax:618-222-7949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty