NPIMap

Organization Active NPI

Heartlife Professional Soul Care

  • Mental Health Counselor
  • Memphis, TN
National Provider Identifier
1952811010
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3369 Issued in TN
Legal business name
HEARTLIFE PROFESSIONAL SOUL CARE
Doing business as
HeartLife Professional Soul Care
Practice address
7947 Players Forest Dr Ste 103
Memphis, TN 38119-9114
Phone
(901) 756-5060
NPI assigned
Oct 3, 2017
Last updated
Apr 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Dr. Charles Hannaford, PH.D.NPI 1578698460
Title
Clinical Psychologist, President
Phone
(901) 756-5060

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 3369 TN Primary

Addresses

Primary practice location

7947 Players Forest Dr Ste 103
Memphis, TN 38119-9114

Mailing address

7947 Players Forest Dr Ste 103
Memphis, TN 38119-9114
Phone (901) 756-5060

Other names 1

  • HeartLife Professional Soul Care Doing business as

National Provider Directory

National Provider Directory

Locations

9045 Forest Centre Dr
Ste 102
Germantown, TN 38138
Phone (901) 756-5788

7947 Players Forest Dr
Ste 103
Memphis, TN 38119
Phone (901) 756-5060

Practitioners & affiliated clinicians

Practitioners 12

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": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1952811010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7947 PLAYERS FOREST DR STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381199114",
            "telephone_number": "901-756-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7947 PLAYERS FOREST DR STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381199114",
            "telephone_number": "901-756-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLIFE PROFESSIONAL SOUL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "HANNAFORD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST, PRESIDENT",
        "authorized_official_telephone_number": "901-756-5060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HeartLife Professional Soul Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.