Heart Space Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEART SPACE MENTAL HEALTH

Doing business as

Heart Space Mental Health LLC

Practice address

17 N 5TH Ave # 1029
Beech Grove, IN 46107-1325

Phone

(317) 210-1175

NPI assigned

Jan 25, 2023

Last updated

Jan 25, 2023By 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

Dianna Stallings, LCSWNPI 1922526144

Title

Therapist

Phone

(619) 302-3697

Specialties & licenses 1

Addresses

Other names 1

• Heart Space Mental Health LLC Doing business as

Locations

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.

• Dianna Stallings

  • Clinical Social Worker
  • Beech Grove, IN
  • NPI 1922526144
  NPD Authorized official

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1841906740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 CARROLLTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202617",
            "telephone_number": "619-302-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N 5TH AVE # 1029",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071325",
            "telephone_number": "317-210-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART SPACE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "619-302-3697",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Space Mental Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela B. Hackman, MD
• Krysten Raeanne Harlan, PHARMD
• Helen Hatfield
• Haven and Horizon LLC
• Andrea Lynn Hayes, RN
• Penny Sue Heavilon, RVT, RT(R)(M)
• Hook-Superx LLC (CVS Pharmacy #06583)
• Howard M Alig MD Inc
• Stephen P Hurrle, P.T.
• Jan Jansen, M.D., PH.D.

• Community/Behavioral Health Agency in Beech Grove, IN
• Providers in Beech Grove, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.