Healing Hearts Trauma Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEALING HEARTS TRAUMA THERAPY LLC

Practice address

2689 Andros LN
Kissimmee, FL 34747-1808

Phone

(772) 773-0065

Fax

(949) 655-5979

NPI assigned

Apr 6, 2020

Organization subpart

No

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

Authorized official

Name

Sharnita WhiteNPI 1124363775

Title

Ceo

Phone

(813) 557-4701

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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.

• Healing Hearts Trauma Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Louis, MO
  • NPI 1396479556
  NPD tax ID

Practitioners 1

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

• Sharnita White, LMHC

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1124363775
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1639708183",
    "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": "2689 ANDROS LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471808",
            "telephone_number": "772-773-0065",
            "fax_number": "949-655-5979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 NE 39th Blvd",
            "address_purpose": "LOCATION",
            "city": "Okeechobee",
            "state": "FL",
            "postal_code": "349728629",
            "country_code": "US",
            "telephone_number": "813-557-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING HEARTS TRAUMA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHARNITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-557-4701"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawna Nichole Hazelwood, APRN AGACNP-BC
• Yinong He, APRN
• Healing at Home Visiting Physicians
• Healing Haven Center, LLC
• Healing Hearts Staffing & Home Health Agency, LLC
• Health and Beauty Oasis Clinic, LLC
• Health and Spine Medical Center, LLC
• Health Care Center for the Homeless, Inc.
• Health Imaging Services LLC
• Health Orlando Inc

• Mental Health Counselor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.