Provider Demographics
NPI:1942066618
Name:HEALING HEARTS WELLNESS AND CARE, LLC
Entity Type:Organization
Organization Name:HEALING HEARTS WELLNESS AND CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:ADRIANNA
Authorized Official - Last Name:SIMPLICIO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-262-0163
Mailing Address - Street 1:15900 RIVERSIDE DR W APT 1A70
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1034
Mailing Address - Country:US
Mailing Address - Phone:914-262-0163
Mailing Address - Fax:
Practice Address - Street 1:15900 RIVERSIDE DR W APT 1A70
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1034
Practice Address - Country:US
Practice Address - Phone:914-262-0163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty