Provider Demographics
NPI:1336842293
Name:THREE HEART BEATS COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:THREE HEART BEATS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:WILIETTE
Authorized Official - Middle Name:DEBRA
Authorized Official - Last Name:SEJOUR-THELISMON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-244-2553
Mailing Address - Street 1:10100 W SAMPLE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3973
Mailing Address - Country:US
Mailing Address - Phone:561-244-2553
Mailing Address - Fax:561-258-9123
Practice Address - Street 1:10100 W SAMPLE RD STE 300
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3973
Practice Address - Country:US
Practice Address - Phone:561-244-2553
Practice Address - Fax:561-258-9123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty