Healthy Hearts Healthy Minds Therapeutic Services, LLC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEALTHY HEARTS HEALTHY MINDS THERAPEUTIC SERVICES, LLC.

Practice address

1900 E Northern Pkwy Ste 201
Baltimore, MD 21239-2110

Phone

(443) 759-9706

Fax

(443) 759-9707

NPI assigned

Feb 14, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Dante Wilson, MSW

Title

Program Director

Phone

(443) 759-9706

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1134629447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WOODSON RD APT I",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122876",
            "telephone_number": "443-226-6866",
            "fax_number": "443-759-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392110",
            "telephone_number": "443-759-9706",
            "fax_number": "443-759-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HEARTS HEALTHY MINDS THERAPEUTIC SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DANTE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-759-9706",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 14, 2018; 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.