Heart Tree LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEART TREE LLC

Practice address

315 W Ponce de Leon Ave Ste 480
Decatur, GA 30030-2489

Phone

(404) 375-4448

NPI assigned

Jan 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jannah S Goodell, LPC

Title

Owner

Phone

(404) 375-4448

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1033683495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLONIAL CENTER PKWY STE 100N",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764892",
            "telephone_number": "404-375-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 480",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302489",
            "telephone_number": "404-375-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART TREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "GOODELL",
        "authorized_official_first_name": "JANNAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-375-4448",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CSW4122",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Nicole Heard, M.D.
• Kelwin J Heard, DDS
• Kenneth W. Heard, PH.D.
• Paula Pruitt Heard, D.D.S.
• Heart to Heart Medical Transport LLC
• Heather Kotlerlcsw MPH LLC
• Rachel Heatherly, PHD
• Kerry A Heckman
• Sina Hedayatpour
• Carla A Hedeen, PH.D.

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.