Provider Demographics
NPI:1528859956
Name:HEALING HEART CONNECTIONS, PLLC
Entity type:Organization
Organization Name:HEALING HEART CONNECTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:239-314-6417
Mailing Address - Street 1:1222 SE 47TH ST STE 112
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9602
Mailing Address - Country:US
Mailing Address - Phone:239-448-5959
Mailing Address - Fax:239-946-0232
Practice Address - Street 1:1222 SE 47TH ST STE 112
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9602
Practice Address - Country:US
Practice Address - Phone:239-448-5959
Practice Address - Fax:239-946-0232
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALING HEART CONNECTIONS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty