Organization
HEALING HEARTS COUNSELING CENTER LLC
Active
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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