Provider Demographics
NPI:1790345700
Name:HEALING HEARTS THERAPY, LLC
Entity Type:Organization
Organization Name:HEALING HEARTS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:NICKESHA
Authorized Official - Middle Name:YANQUIE
Authorized Official - Last Name:COLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-761-5224
Mailing Address - Street 1:123 ADELAIDE ST FL 2
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06114-1875
Mailing Address - Country:US
Mailing Address - Phone:860-761-5224
Mailing Address - Fax:
Practice Address - Street 1:66 CEDAR ST STE 201
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2646
Practice Address - Country:US
Practice Address - Phone:860-761-5224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty