Provider Demographics
NPI:1508539727
Name:HEARTH CONNECTION
Entity Type:Organization
Organization Name:HEARTH CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:DUCHSCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:LSW, MSW, MPP
Authorized Official - Phone:651-302-7186
Mailing Address - Street 1:2446 UNIVERSITY AVE W STE 150
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1763
Mailing Address - Country:US
Mailing Address - Phone:651-302-4186
Mailing Address - Fax:
Practice Address - Street 1:2446 UNIVERSITY AVE W STE 150
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1763
Practice Address - Country:US
Practice Address - Phone:651-302-4186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health