Organization Active NPI

Healing Hearts Counseling Center LLC

  • Community/Behavioral Health Agency
  • Douglasville, GA
National Provider Identifier
1114331378
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
007613 Issued in GA
Legal business name
HEALING HEARTS COUNSELING CENTER LLC
Practice address
8338 Office Park Dr
Douglasville, GA 30134-6937
Phone
(678) 895-5681
NPI assigned
Jun 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Heather Lavinia Conyers, LPC, NCC
Title
Founder/Director
Phone
(678) 895-5681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 007613 GA Primary

Addresses

Primary practice location

8338 Office Park Dr
Douglasville, GA 30134-6937

Mailing address

2366 Old Lower River Rd
Douglasville, GA 30135-3022
Phone (678) 895-5681

Other identifiers 1

IdentifierTypeStateIssuer
1639580616OtherGAINDIVIDUAL

National Provider Directory

National Provider Directory
Tax ID family
Healing Hearts Counseling Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1114331378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 OLD LOWER RIVER RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353022",
            "telephone_number": "678-895-5681",
            "fax_number": "866-656-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 OFFICE PARK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346937",
            "telephone_number": "678-895-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "CONYERS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LAVINIA",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "678-895-5681",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "007613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1639580616",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.