Provider Demographics
NPI:1407536790
Name:HEARTFELT COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:HEARTFELT COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:DANNETTE GREENE
Authorized Official - Last Name:KOMAR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LPC, ATR-BC
Authorized Official - Phone:812-361-7704
Mailing Address - Street 1:4101 S DIXON RD STE B
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-4819
Mailing Address - Country:US
Mailing Address - Phone:812-361-7704
Mailing Address - Fax:
Practice Address - Street 1:4101 S DIXON RD STE B
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-4819
Practice Address - Country:US
Practice Address - Phone:765-450-9612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty