Provider Demographics
NPI:1639937162
Name:HEALING HEARTS WELLNESS CENTER
Entity Type:Organization
Organization Name:HEALING HEARTS WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:919-886-5932
Mailing Address - Street 1:600 PARK OFFICES DR STE 300
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27709-1012
Mailing Address - Country:US
Mailing Address - Phone:919-886-5932
Mailing Address - Fax:919-886-6910
Practice Address - Street 1:2280 JOLLAY ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-6855
Practice Address - Country:US
Practice Address - Phone:919-603-7894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty