Provider Demographics
NPI:1750817631
Name:HEALING HART MINISTRY,INC
Entity Type:Organization
Organization Name:HEALING HART MINISTRY,INC
Other - Org Name:HEALING HEART MINISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:251-545-8418
Mailing Address - Street 1:4017 COTTAGE HILL RD
Mailing Address - Street 2:#22
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-8415
Mailing Address - Country:US
Mailing Address - Phone:251-545-8418
Mailing Address - Fax:251-602-1019
Practice Address - Street 1:7856 WESTSIDE PARK DR
Practice Address - Street 2:SUITE L
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-8541
Practice Address - Country:US
Practice Address - Phone:251-545-8418
Practice Address - Fax:251-602-1019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty