Provider Demographics
NPI:1659064319
Name:SPEAK FROM THE HEART COUNSELING & WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:SPEAK FROM THE HEART COUNSELING & WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-212-8387
Mailing Address - Street 1:11125 LAKE AVE APT 105
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-1108
Mailing Address - Country:US
Mailing Address - Phone:412-212-8387
Mailing Address - Fax:
Practice Address - Street 1:11125 LAKE AVE APT 105
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-1108
Practice Address - Country:US
Practice Address - Phone:412-212-8387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty