Heart & Soul Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HEART & SOUL WELLNESS

Practice address

5 Latimer St
Hazlehurst, GA 31539-6111

Phone

(912) 500-9207

Fax

(432) 200-9558

NPI assigned

Mar 16, 2022

Organization subpart

No

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

Authorized official

Name

Miss Dondi Nichole Little

Title

Office Coordinator

Phone

(912) 500-9207

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24292/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1083362149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LATIMER ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396111",
            "telephone_number": "912-500-9207",
            "fax_number": "432-200-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LATIMER ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396111",
            "telephone_number": "912-500-9207",
            "fax_number": "432-200-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & SOUL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "DONDI",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "912-500-9207",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tina E Hayes, RN
• Hazlehurst Pediatrics, PC
• Hazlehurst Pediatrics, PC (Hazlehurst Pediatrics)
• Hazlehurst Primary Care, PC
• Heart & Soul Wellness LLC
• Mitchell S Herrington, RPH
• Rilla Margaret Highsmith, FNP-C
• Holistic Pain Management of Georgia LLC
• Hospital Authority of Jeff Davis County Georgia (Jeff Davis Behavioral Health Services)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hazlehurst, GA
• Providers in Hazlehurst, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.