NPIMap

Organization Active NPI

Intellectual Hearts LLC

  • Mental Health Counselor
  • Mint Hill, NC
National Provider Identifier
1346073723
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INTELLECTUAL HEARTS LLC
Practice address
7612 Brookwood Valley LN
Mint Hill, NC 28227-9722
Phone
(980) 279-7836
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Chandra Denise Williams, LCMHC, LCASANPI 1245573849
Title
Chief Executive Officer
Phone
(980) 279-7836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7612 Brookwood Valley LN
Mint Hill, NC 28227-9722

Mailing address

7612 Brookwood Valley LN
Mint Hill, NC 28227-9722
Phone (980) 279-7836

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1346073723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 BROOKWOOD VALLEY LN",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279722",
            "telephone_number": "980-279-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7612 BROOKWOOD VALLEY LN",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279722",
            "telephone_number": "980-279-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLECTUAL HEARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "980-279-7836",
        "authorized_official_credential": "LCMHC, LCASA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.