Angels Hearts LLC

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

CERTIFICATE Issued in GA

Legal business name

ANGELS HEARTS LLC

Practice address

604 Center St
New Iberia, LA 70560-5502

Phone

(337) 321-9424

Fax

(337) 214-2012

NPI assigned

Jun 20, 2015

Last updated

Jun 20, 2015By 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

Mrs. Bonnie Lynn Gunner, CERTIFICATE

Title

Member

Phone

(337) 519-6126

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434758400000",
    "number": "1760864276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CENTER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605502",
            "telephone_number": "337-321-9424",
            "fax_number": "337-214-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 CENTER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605502",
            "telephone_number": "337-321-9424",
            "fax_number": "337-214-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS HEARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-20",
        "last_updated": "2015-06-20",
        "status": "A",
        "authorized_official_last_name": "GUNNER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "337-519-6126",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERTIFICATE"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "GA",
            "license": "CERTIFICATE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.