Provider Demographics
NPI:1144079708
Name:HEALING HEARTS THERAPY LLC
Entity type:Organization
Organization Name:HEALING HEARTS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:937-203-0977
Mailing Address - Street 1:934 W MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-7485
Mailing Address - Country:US
Mailing Address - Phone:937-203-0977
Mailing Address - Fax:
Practice Address - Street 1:934 W MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-7485
Practice Address - Country:US
Practice Address - Phone:937-203-0977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty