Provider Demographics
NPI:1922626092
Name:HEARTLAND HEALING COUNSELING SERVICES
Entity Type:Organization
Organization Name:HEARTLAND HEALING COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:AVENATTI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-236-8767
Mailing Address - Street 1:4625 E 16TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46201-1730
Mailing Address - Country:US
Mailing Address - Phone:812-236-8767
Mailing Address - Fax:
Practice Address - Street 1:2432 CONSERVATORY DR FL 2
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-3985
Practice Address - Country:US
Practice Address - Phone:812-236-8767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty