| Healing Hearts Counseling Service Pllc | |
|
98 Broadlawn Shopping Ctr Ardmore OK 73401-1723 | |
| (580) 798-3650 | |
| (855) 237-6279 |
| Full Name | Healing Hearts Counseling Service Pllc |
|---|---|
| Speciality | Counselor |
| Location | 98 Broadlawn Shopping Ctr, Ardmore, Oklahoma |
| Authorized Official Name and Position | Shenita L Jones (OWNER) |
| Authorized Official Contact | 5807983650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hearts Counseling Service Pllc 98 Broadlawn Shopping Ctr Ardmore OK 73401-1723 Ph: (580) 798-3650 | Healing Hearts Counseling Service Pllc 98 Broadlawn Shopping Ctr Ardmore OK 73401-1723 Ph: (580) 798-3650 |
| NPI Number | 1194295246 |
|---|---|
| Provider Enumeration Date | 12/02/2018 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Medicare PECOS PAC ID | 3072956309 |
|---|---|
| Medicare Enrollment ID | O20240202004003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194295246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Shenita L Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952629537 PECOS PAC ID: 4981047214 Enrollment ID: I20240202004011 |
| Provider Name | Donna Renea Daniels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740595263 PECOS PAC ID: 5092159418 Enrollment ID: I20240213004643 |
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