Provider Demographics
NPI:1841810272
Name:HEALTHY HEADS AND HEARTS, LLC
Entity type:Organization
Organization Name:HEALTHY HEADS AND HEARTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:N
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW-C
Authorized Official - Phone:616-326-1074
Mailing Address - Street 1:820 MONROE AVE NW APT 313
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-1439
Mailing Address - Country:US
Mailing Address - Phone:616-326-1074
Mailing Address - Fax:
Practice Address - Street 1:50 LOUIS ST NW STE 610
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-2645
Practice Address - Country:US
Practice Address - Phone:616-326-1074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health