Provider Demographics
NPI:1629403936
Name:HEALING HEARTS MENDING MINDS LLC
Entity Type:Organization
Organization Name:HEALING HEARTS MENDING MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STERRETT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:724-804-8806
Mailing Address - Street 1:716 SAINT CLAIR ST
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-2061
Mailing Address - Country:US
Mailing Address - Phone:724-804-8806
Mailing Address - Fax:724-694-5789
Practice Address - Street 1:220 PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:PA
Practice Address - Zip Code:15627-1091
Practice Address - Country:US
Practice Address - Phone:724-804-8806
Practice Address - Fax:724-694-5789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0172211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty