Healing Hearts Holistically, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12832 Issued in FL

Legal business name

HEALING HEARTS HOLISTICALLY, LLC

Practice address

10230 Holland Rd
Riverview, FL 33578

Phone

(813) 447-7157

NPI assigned

Mar 22, 2018

Last updated

Jun 16, 2018By 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

Javon Lucas

Title

Onwer

Phone

(813) 447-7157

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1740784719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 HOLLAND RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 HOLLAND RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33578",
            "telephone_number": "813-447-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS HOLISTICALLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "JAVON",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "813-447-7157"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016893400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Frances Hazzard, ARNP
• Jeffrey Hazzard, ARNP
• Miriam Rosa Headley
• Healing Care Therapy Services, LLC
• Healing Garden, LLC
• Healthpro Pediatrics, LLC
• Healthy Mind Specialists
• Healxcell
• Heartily Touch, LLC
• Jennifer Anne Hedgepeth, COTA

• Clinical Social Worker in Riverview, FL
• Providers in Riverview, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.