Provider Demographics
NPI:1679993687
Name:ANGEL'S HEART-TO-HEART COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:ANGEL'S HEART-TO-HEART COUNSELING SERVICES LLC
Other - Org Name:HEART-TO-HEART COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:405-535-9894
Mailing Address - Street 1:312 NE 28TH ST.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-2804
Mailing Address - Country:US
Mailing Address - Phone:405-606-7090
Mailing Address - Fax:405-605-4118
Practice Address - Street 1:312 NE 28TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-2804
Practice Address - Country:US
Practice Address - Phone:405-606-7090
Practice Address - Fax:405-605-4118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-17
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health