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Organization

HEALING HEARTS COUNSELING CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER LAVINIA CONYERS LPC, NCC (FOUNDER/DIRECTOR)
(678) 895-5681
Entity
Organization

Contact information

Practice address
8338 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6937
(678) 895-5681
Mailing address
2366 OLD LOWER RIVER RD, DOUGLASVILLE, GA 30135-3022
(678) 895-5681
(866) 656-3551

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
007613
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1639580616
INDIVIDUAL
GA
Enumeration date
06/16/2014
Last updated
06/16/2014
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