Heart's Desire Craniosacral and Massage Therapy

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

HEART'S DESIRE CRANIOSACRAL AND MASSAGE THERAPY

Practice address

504 Washington St Ste 5
Vancouver, WA 98660-3138

Phone

(360) 524-2772

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Amy WyenbergNPI 1770727620

Title

LMT

Phone

(360) 524-2772

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, and the practitioner matching its NPPES authorized official.

• Amy Beth Wyenberg, LMP

  • Community Health Worker
  • Vancouver, WA
  • NPI 1770727620
  NPD Authorized official

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1497321186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65595",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 WASHINGTON ST STE 5",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603138",
            "telephone_number": "360-524-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART'S DESIRE CRANIOSACRAL AND MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "WYENBERG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "360-524-2772"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearing Aid Consultants (Miracle Ear)
• Hearing Center of Vancouver LLC
• Heart 2 Art Therapy, PLLC
• Heart of Health Naturopathic Clinic, LLC
• Paris Quincy-Jamal Heart-Hester
• Heartful Healing, LLC
• Mariah Heartsill
• Catherine Heartsong, LMP
• Kaitlyn Elise Heartstrum
• Heaven Sent Counseling

• Community Health Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Community Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.