Provider Demographics
NPI:1245465087
Name:HEART MINISTRIES, INC
Entity type:Organization
Organization Name:HEART MINISTRIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER AND REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-658-7020
Mailing Address - Street 1:1015 W 2ND ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-2001
Mailing Address - Country:US
Mailing Address - Phone:501-375-4300
Mailing Address - Fax:
Practice Address - Street 1:536 GURULE ST NW
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-8435
Practice Address - Country:US
Practice Address - Phone:501-366-3041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-22
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health