Organization
HEARTFELT ALTERNATIVES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TABATHA EVA MOORE MSW, PLCSW (PRESIDENT)
(919) 844-7770
Entity
Organization
Contact information
Practice address
1100 LOGGER CT, SUITE C100, RALEIGH, NC 27609-8525
(919) 844-7770
(919) 844-7771
Mailing address
1100 LOGGER CT, SUITE C100, RALEIGH, NC 27609-8525
(919) 844-7770
(919) 844-7771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
POO4120
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915562
—
NC
05
—
6006422
—
NC
05
—
6604434
—
NC
05
—
8302448H
—
NC
05
—
8302448V
—
NC
Enumeration date
05/20/2008
Last updated
07/23/2013
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