Provider Demographics
NPI:1841588654
Name:HEARTSPEAK LLC
Entity Type:Organization
Organization Name:HEARTSPEAK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:954-257-6616
Mailing Address - Street 1:1581 SW 55TH AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-5322
Mailing Address - Country:US
Mailing Address - Phone:954-257-6616
Mailing Address - Fax:954-733-4483
Practice Address - Street 1:3511 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3331
Practice Address - Country:US
Practice Address - Phone:954-733-3394
Practice Address - Fax:954-733-4483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 82251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty