Provider Demographics
NPI:1518684703
Name:CALM HEARTS THERAPY, LLC
Entity Type:Organization
Organization Name:CALM HEARTS THERAPY, LLC
Other - Org Name:HEALING CONNECTIONS THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WHITLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:220-392-6176
Mailing Address - Street 1:601 VIRGINIA AVE N STE 1
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31794-4268
Mailing Address - Country:US
Mailing Address - Phone:229-396-5507
Mailing Address - Fax:
Practice Address - Street 1:601 VIRGINIA AVE N STE 1
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794-4268
Practice Address - Country:US
Practice Address - Phone:229-396-5507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)