Provider Demographics
NPI:1386842920
Name:HEALING HEARTS OF FAMILIES USA MINISTRIES, INC
Entity Type:Organization
Organization Name:HEALING HEARTS OF FAMILIES USA MINISTRIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BONITA
Authorized Official - Middle Name:
Authorized Official - Last Name:LACY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-289-5277
Mailing Address - Street 1:PO BOX 2033
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-1039
Mailing Address - Country:US
Mailing Address - Phone:404-289-5277
Mailing Address - Fax:404-890-5644
Practice Address - Street 1:1712 BROWNING ST SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30314-2204
Practice Address - Country:US
Practice Address - Phone:404-289-5277
Practice Address - Fax:404-890-5644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility