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Organization
4HEALING HEARTS INC
Active
Organization
4HEALING HEARTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYIESHA BROWN (ADMINISTRATOR)
(817) 680-7912
Entity
Organization
Contact information
Practice address
1613 GREENDALE CT, FORT WORTH, TX 76112-3410
(817) 680-7912
(817) 887-2415
Mailing address
PO BOX 8006, FORT WORTH, TX 76124-0006
(817) 680-7912
(817) 887-2415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
253J00000X
Foster Care Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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