# COMPASSIONATE HEARTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386991230
- **Authorized official:** MRS. KIRA JOHNSON LCSW (CLINICAL SERVICE DIRECTOR)
- **Authorized official phone:** (769) 233-8585

## Contact information

- **Practice address:** 1828 RAYMOND RD, SUITE A, JACKSON, MS 39204-4126
- **Practice address phone:** (769) 233-8585
- **Practice address fax:** (877) 907-6577
- **Mailing address:** 1828 RAYMOND RD, SUITE A, JACKSON, MS 39204-4126
- **Mailing address phone:** (769) 233-8585
- **Mailing address fax:** (877) 907-6577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | C6696 | MS | Yes |

## Other

- **Enumeration date:** 08/10/2012
- **Last updated:** 06/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 06202806 | — | MS |