Organization Active NPI

Healing Hearts Expressive Arts, LLC

  • Community/Behavioral Health Agency
  • Riverdale, GA
National Provider Identifier
1841732492
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALING HEARTS EXPRESSIVE ARTS, LLC
Practice address
136 Highway 138 SW
Suite 400
Riverdale, GA 30274-4008
Phone
(470) 269-0190
NPI assigned
Nov 14, 2016
Last updated
Nov 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Ms. Gabrielle Rene Waters, LPCNPI 1073047742
Title
Ceo
Phone
(470) 269-0190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

136 Highway 138 SW
Suite 400
Riverdale, GA 30274-4008

Mailing address

136 Highway 138 SW
Suite 400
Riverdale, GA 30274-4008
Phone (470) 269-0190

National Provider Directory

National Provider Directory

Locations

136 Highway 138 SW
Ste 400
Riverdale, GA 30274
Phone (470) 269-0190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1841732492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 HIGHWAY 138 SW",
            "address_2": "SUITE 400",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744008",
            "telephone_number": "470-269-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HIGHWAY 138 SW",
            "address_2": "SUITE 400",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744008",
            "telephone_number": "470-269-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS EXPRESSIVE ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-269-0190",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.