Healing Hearts Therapeutic Services, Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

HEALING HEARTS THERAPEUTIC SERVICES, INC

Practice address

824 Gum Branch Rd Ste E
Jacksonville, NC 28540-6269

Phone

(910) 347-1694

Fax

(910) 347-3691

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Demetrious Shepard, LPCNPI 1477618098

Title

Ceo Clinical Director

Phone

(910) 347-1694

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Demetrious Thomas Shepard, LPC

  • Professional Counselor
  • Jacksonville, NC
  • NPI 1477618098
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1053498683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 GUM BRANCH RD STE E",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406269",
            "telephone_number": "910-347-1694",
            "fax_number": "910-347-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 GUM BRANCH RD STE E",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406269",
            "telephone_number": "910-347-1694",
            "fax_number": "910-347-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS THERAPEUTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "DEMETRIOUS",
        "authorized_official_title_or_position": "CEO CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "910-347-1694",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005845",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Hayes
• William Arthur Hays Jr.
• Marie Angelique Solis Hazelwood
• Lynette Heacock, LCMHC-A
• Healing Falls Counseling PLLC
• Healing Touch Home Care Agency LLC of Jacksonville, NC
• Health & Home Services, Inc.
• Health Opportunities Consortium Inc
• Health Opportunities Consortium LLC
• Health Sciences Foundation, Inc.

• Addiction (Substance Use Disorder) Counselor in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.