Provider Demographics
NPI:1457193062
Name:HEALING HEARTS COUNSELING L.L.C.
Entity type:Organization
Organization Name:HEALING HEARTS COUNSELING L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BICKERSTAFF
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:402-841-0788
Mailing Address - Street 1:1101 BROADWAY AVE STE 108-2
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-2835
Mailing Address - Country:US
Mailing Address - Phone:605-653-1455
Mailing Address - Fax:605-653-1457
Practice Address - Street 1:1101 BROADWAY AVE STE 108-2
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-2835
Practice Address - Country:US
Practice Address - Phone:605-653-1455
Practice Address - Fax:605-653-1457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)