Heal With Heart, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEAL WITH HEART, LLC

Practice address

217 Jamestown Park
Suite 2
Brentwood, TN 37027-1500

Phone

(615) 669-2167

NPI assigned

Feb 3, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Leeann Love, LPC

Title

Owner

Phone

(615) 669-2167

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1053734699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 JAMESTOWN PARK",
            "address_2": "SUITE 2",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271500",
            "telephone_number": "615-669-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 JAMESTOWN PARK",
            "address_2": "SUITE 2",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271500",
            "telephone_number": "615-669-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL WITH HEART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-669-2167",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q002053",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12584045",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.