NPIMap

Organization Active NPI

Heart 2 Heart Wellness LLC

  • Clinical Social Worker
  • Jeffersonville, IN
National Provider Identifier
1710374236
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006576A Issued in IN
Legal business name
HEART 2 HEART WELLNESS LLC
Practice address
2700 Vissing Park Rd
Jeffersonville, IN 47130-5989
Phone
(812) 496-4310
Fax
(502) 329-3945
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Glynita Rice, LCSW
Title
Member
Phone
(502) 608-0850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 34006576A IN Primary

Addresses

Primary practice location

2700 Vissing Park Rd
Jeffersonville, IN 47130-5989

Mailing address

3310 E 10TH St # 365
Jeffersonville, IN 47130-7285
Phone (812) 496-4310

National Provider Directory

National Provider Directory
Tax ID family
Heart 2 Heart Wellness Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1710374236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 E 10TH ST # 365",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307285",
            "telephone_number": "812-496-4310",
            "fax_number": "502-329-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 VISSING PARK RD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305989",
            "telephone_number": "812-496-4310",
            "fax_number": "502-329-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART 2 HEART WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "GLYNITA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-608-0850",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006576A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.