Organization
HEALING HEARTS OF TN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY MOORE (OFFICE MANAGER)
(931) 474-4673
Entity
Organization
Contact information
Practice address
107 E MORFORD ST, MC MINNVILLE, TN 37110-2521
(931) 474-4763
(931) 474-4764
Mailing address
107 E MORFORD ST, MC MINNVILLE, TN 37110-2521
(931) 474-4763
(931) 474-4764
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
TN
01
—
2072152
CIGNA
TN
01
—
4080157
BLUE CROSS BLUE SHIELD
TN
01
—
4094346
BLUE CROSS BLUE SHIELD
TN
01
—
40999839
BLUE CROSS BLUE SHIELD
TN
01
—
457801
VALUE OPTIONS
TN
01
—
7239269
AETNA
TN
Enumeration date
03/14/2007
Last updated
08/22/2020
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