Provider Demographics
NPI:1831135904
Name:HEART TO HEART COMMUNICATION, L.C.
Entity Type:Organization
Organization Name:HEART TO HEART COMMUNICATION, L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:BING
Authorized Official - Middle Name:
Authorized Official - Last Name:WALL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:515-233-8473
Mailing Address - Street 1:PO BOX 224
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-0224
Mailing Address - Country:US
Mailing Address - Phone:515-233-8472
Mailing Address - Fax:515-233-5810
Practice Address - Street 1:319 LINCOLN WAY
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3309
Practice Address - Country:US
Practice Address - Phone:515-233-8473
Practice Address - Fax:515-233-5810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00172106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty