Provider Demographics
NPI:1932783933
Name:HEARTFELT GRIEF COUNSELING LLC
Entity Type:Organization
Organization Name:HEARTFELT GRIEF COUNSELING LLC
Other - Org Name:HEARTFELT GRIEF COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARMANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-384-8722
Mailing Address - Street 1:5223 W WOODMILL DR STE 41
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4068
Mailing Address - Country:US
Mailing Address - Phone:302-384-8722
Mailing Address - Fax:
Practice Address - Street 1:5223 W WOODMILL DR STE 41
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4068
Practice Address - Country:US
Practice Address - Phone:302-384-8722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty