Organization Active NPI

Healing Hearts Trauma Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Louis, MO
National Provider Identifier
1396479556
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALING HEARTS TRAUMA THERAPY LLC
Practice address
1027 S Vandeventer Ave Ste 618
Saint Louis, MO 63110-3800
Phone
(772) 773-0065
Fax
(949) 655-5979
NPI assigned
Jul 13, 2022
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Sharnita White, LMHCNPI 1124363775
Title
Owner
Phone
(813) 557-4701

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1027 S Vandeventer Ave Ste 618
Saint Louis, MO 63110-3800

Mailing address

10922 Schuetz Rd
Saint Louis, MO 63146-5704
Phone (772) 773-0065

National Provider Directory

National Provider Directory
Tax ID family
Healing Hearts Trauma Therapy 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.

Locations

1027 S Vandeventer Ave
Ste 618
Saint Louis, MO 63110
Phone (772) 773-0065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1396479556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10922 SCHUETZ RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465704",
            "telephone_number": "772-773-0065",
            "fax_number": "949-655-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S VANDEVENTER AVE STE 618",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103800",
            "telephone_number": "772-773-0065",
            "fax_number": "949-655-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS TRAUMA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHARNITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-557-4701",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.