Provider Demographics
NPI:1356783542
Name:HEARTFELT CHRISTIAN COUNSELING, PLLC
Entity type:Organization
Organization Name:HEARTFELT CHRISTIAN COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:HAMMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-996-2242
Mailing Address - Street 1:PO BOX 299
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75030-0299
Mailing Address - Country:US
Mailing Address - Phone:972-996-2242
Mailing Address - Fax:972-996-2245
Practice Address - Street 1:4702 ROWLETT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-1703
Practice Address - Country:US
Practice Address - Phone:972-996-2242
Practice Address - Fax:972-996-2245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65581101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty