Provider Demographics
NPI:1447790142
Name:HEAVENLY HANDS CONSULTANT SERVICES,LLC
Entity Type:Organization
Organization Name:HEAVENLY HANDS CONSULTANT SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:COBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-717-4164
Mailing Address - Street 1:750 SOUTH ORANGE BLOSSOM TRAIL SUITE 236
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805
Mailing Address - Country:US
Mailing Address - Phone:407-717-4164
Mailing Address - Fax:407-205-1188
Practice Address - Street 1:750 S ORANGE BLOSSOM TRL STE 236
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-3196
Practice Address - Country:US
Practice Address - Phone:407-717-4164
Practice Address - Fax:407-205-1188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management