Provider Demographics
NPI:1861000754
Name:HEALING HEARTS COUNSELING LLC
Entity Type:Organization
Organization Name:HEALING HEARTS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:E
Authorized Official - Last Name:RIDENHOUR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:573-578-6479
Mailing Address - Street 1:20005 HIGHWAY CC
Mailing Address - Street 2:
Mailing Address - City:LICKING
Mailing Address - State:MO
Mailing Address - Zip Code:65542-9139
Mailing Address - Country:US
Mailing Address - Phone:573-578-6479
Mailing Address - Fax:
Practice Address - Street 1:901 N PINE ST # 105C
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401-3141
Practice Address - Country:US
Practice Address - Phone:573-578-6479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty