Provider Demographics
NPI:1427394576
Name:H.E.A.R.T. (HELPING EVERY FAMILY ACHIEVE RESILIENCY)
Entity Type:Organization
Organization Name:H.E.A.R.T. (HELPING EVERY FAMILY ACHIEVE RESILIENCY)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-923-8771
Mailing Address - Street 1:1851 N GREEN VALLEY PKWY
Mailing Address - Street 2:2514
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-5800
Mailing Address - Country:US
Mailing Address - Phone:702-756-0537
Mailing Address - Fax:
Practice Address - Street 1:1851 N GREEN VALLEY PKWY
Practice Address - Street 2:2514
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-5800
Practice Address - Country:US
Practice Address - Phone:702-756-0537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20121620415251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health