Provider Demographics
NPI:1497435192
Name:HEARTFELT INTERVENTIONS LLC
Entity Type:Organization
Organization Name:HEARTFELT INTERVENTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUSSALAAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:215-834-3773
Mailing Address - Street 1:1500 CHESTNUT ST STE 2 #1020
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-2700
Mailing Address - Country:US
Mailing Address - Phone:215-834-3773
Mailing Address - Fax:
Practice Address - Street 1:6023 MARKET ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19139-3880
Practice Address - Country:US
Practice Address - Phone:215-834-3773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty