Provider Demographics
NPI:1598359036
Name:HEAD OVER HEART COUNSELING, PLLC
Entity Type:Organization
Organization Name:HEAD OVER HEART COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:210-441-8857
Mailing Address - Street 1:3096 CENIZO
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78264-9504
Mailing Address - Country:US
Mailing Address - Phone:210-441-8857
Mailing Address - Fax:
Practice Address - Street 1:3096 CENIZO
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78264-9504
Practice Address - Country:US
Practice Address - Phone:210-441-8857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health