Organization Active NPI

Healing Heartz Therapy Soulutions

  • Mental Health Counselor
  • McDonough, GA
National Provider Identifier
1912730862
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALING HEARTZ THERAPY SOULUTIONS
Practice address
806 Pavilion CT
McDonough, GA 30253-6666
Phone
(470) 214-9572
NPI assigned
Aug 24, 2024
Last updated
Aug 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Authorized official

Name
Jaquita ShortsNPI 1518322395
Title
Owner
Phone
(470) 214-9572

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

806 Pavilion CT
McDonough, GA 30253-6666

Mailing address

806 Pavilion CT
McDonough, GA 30253-6666
Phone (470) 214-9572

National Provider Directory

National Provider Directory

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": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1912730862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 PAVILION CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536666",
            "telephone_number": "470-214-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 PAVILION CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536666",
            "telephone_number": "470-214-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTZ THERAPY SOULUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "SHORTS",
        "authorized_official_first_name": "JAQUITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-214-9572"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.