# HEALING HEARTZ AT HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healing Heartz home care aide assistance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770281701
- **Authorized official:** MS. LAKISHA GAMBLE (OWNER)
- **Authorized official phone:** (470) 654-3505

## Contact information

- **Practice address:** 309 MATTHEWS AVE, CARROLLTON, GA 30117-3629
- **Practice address phone:** (470) 654-3505
- **Mailing address:** 309 MATTHEWS AVE, CARROLLTON, GA 30117-3629
- **Mailing address phone:** (470) 654-3505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | — | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | — | — |

## Other

- **Enumeration date:** 02/20/2023
- **Last updated:** 09/22/2026