Organization
HEALING HEARTS COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER LAVINIA CONYERS LPC, NCC (FOUNDER AND THERAPIST)
(678) 895-5681
Entity
Organization
Contact information
Practice address
2366 OLD LOWER RIVER RD, DOUGLASVILLE, GA 30135-3022
(678) 895-5681
(877) 575-9128
Mailing address
8310 OFFICE PARK DR, SUITE 1A, DOUGLASVILLE, GA 30134-6935
(678) 895-5681
(877) 575-9128
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
GA
101YP2500X
Professional Counselor
Primary
LPC007613
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003147662A
—
GA
Enumeration date
02/16/2016
Last updated
02/16/2016
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