# NOMADIC HEART THERAPY, LLC

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

## Provider details

- **NPI number:** 1952290439
- **Authorized official:** ASHLEY FAUCETTE LCSW-C (OWNER/PSYCHOTHERAPIST)
- **Authorized official phone:** (240) 434-3014

## Contact information

- **Practice address:** 6650 RIVERS AVE STE 100, NORTH CHARLESTON, SC 29406-4809
- **Practice address phone:** (301) 673-1947
- **Mailing address:** 4302 E ROCK WREN RD, PHOENIX, AZ 85044-6766
- **Mailing address phone:** (240) 434-3014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2025
- **Last updated:** 06/30/2025