Provider Demographics
NPI:1659990190
Name:HEART 2 HEART COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:HEART 2 HEART COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALAIYIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:318-613-6407
Mailing Address - Street 1:4501 JACKSON EXTENSION STE C-302
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-2555
Mailing Address - Country:US
Mailing Address - Phone:318-613-6407
Mailing Address - Fax:
Practice Address - Street 1:4501 JACKSON EXTENSION STE C-302
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-2555
Practice Address - Country:US
Practice Address - Phone:318-613-6407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)