Heart & Soul Wellness LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HEART & SOUL WELLNESS LLC

Practice address

5 Latimer St
Hazlehurst, GA 31539-6111

Phone

(912) 500-9207

Fax

(432) 200-9558

NPI assigned

Aug 3, 2021

Last updated

Jul 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dondi Nichole Little

Title

Office Manager

Phone

(912) 500-9207

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1447924535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 S MAIN ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130135",
            "telephone_number": "912-500-9207",
            "fax_number": "432-200-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LATIMER ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396111",
            "telephone_number": "912-500-9207",
            "fax_number": "432-200-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & SOUL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "DONDI",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-500-9207"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina E Hayes, RN
• Hazlehurst Pediatrics, PC
• Hazlehurst Pediatrics, PC (Hazlehurst Pediatrics)
• Hazlehurst Primary Care, PC
• Heart & Soul Wellness
• Mitchell S Herrington, RPH
• Rilla Margaret Highsmith, FNP-C
• Holistic Pain Management of Georgia LLC
• Hospital Authority of Jeff Davis County Georgia (Jeff Davis Behavioral Health Services)
• Hospital Authority of Jeff Davis County Georgia (The Tabi Wellness Center and Spa)

• Primary Care Clinic/Center in Hazlehurst, GA
• Providers in Hazlehurst, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.