| Healing Hearts Counseling Center Llc | |
|
2366 Old Lower River Rd Douglasville GA 30135-3022 | |
| (678) 895-5681 | |
| (877) 575-9128 |
| Full Name | Healing Hearts Counseling Center Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2366 Old Lower River Rd, Douglasville, Georgia |
| Authorized Official Name and Position | Heather Lavinia Conyers (FOUNDER AND THERAPIST) |
| Authorized Official Contact | 6788955681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hearts Counseling Center Llc 8310 Office Park Dr Suite 1a Douglasville GA 30134-6935 Ph: (678) 895-5681 | Healing Hearts Counseling Center Llc 2366 Old Lower River Rd Douglasville GA 30135-3022 Ph: (678) 895-5681 |
| NPI Number | 1336508605 |
|---|---|
| Provider Enumeration Date | 02/16/2016 |
| Last Update Date | 02/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336508605 | NPI | - | NPPES |
| 003147662A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC007613 (Georgia) | Primary |
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