Organization Active NPI

Healing Hearts of Tennessee, Inc.

  • Clinical Social Worker
  • McMinnville, TN
National Provider Identifier
1689752933
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW00000007047 Issued in TN
Legal business name
HEALING HEARTS OF TENNESSEE, INC.
Practice address
107 E Morford St
MC Minnville, TN 37110-2521
Phone
(931) 474-4673
Fax
(931) 494-4674
NPI assigned
Nov 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deborah D Vines, LCSW
Title
Clinical Director
Phone
(931) 474-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW00000007047 TN Primary

Addresses

Primary practice location

107 E Morford St
MC Minnville, TN 37110-2521

Mailing address

107 E Morford St
MC Minnville, TN 37110-2521
Phone (931) 474-4673

National Provider Directory

National Provider Directory
Tax ID family
Healing Hearts of Tennessee Inc2 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

107 E Morford St
Mc Minnville, TN 37110
Phone (931) 474-4673

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689752933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MORFORD ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371102521",
            "telephone_number": "931-474-4673",
            "fax_number": "931-494-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MORFORD ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371102521",
            "telephone_number": "931-474-4673",
            "fax_number": "931-494-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS OF TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "931-474-4673",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LCSW00000007047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.