Healed Hearts, P.L.L.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW-27678 Issued in ID

Legal business name

HEALED HEARTS, P.L.L.C.

Practice address

611 E. Lakeside Avenue
Coeur D'Alene, ID 83814

Phone

(208) 262-1186

NPI assigned

Aug 10, 2013

Organization subpart

No

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

Authorized official

Name

Christine Brooks, LCSWNPI 1891161105

Title

Manager

Phone

(208) 262-1186

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christine Brooks, LCSW

  • Clinical Social Worker
  • Coeur D Alene, ID
  • NPI 1891161105
  NPD (past) Authorized official

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

{
    "created_epoch": "1376092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1285067595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2416",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838162416",
            "telephone_number": "208-262-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E. LAKESIDE AVENUE",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-262-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALED HEARTS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-10",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-262-1186",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW-27678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emmalee Anne Gerstenberger, CNP
• Kirandeep K Gill, D.O.
• Jason Hayes Goodwin, LCPC, CDAC
• Health Care for Women, P a
• Hearts at Home LLC
• Jacqueline Heineman, PHARM. D
• William Bardon Higgins, DC
• Brent Earl Hirschi, DC

• Community/Behavioral Health Agency in Coeur D'Alene, ID
• Providers in Coeur D'Alene, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.