Organization
HEALING HEARTS AND MINDS
Active
Other names
Healing Hearts and MInds, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY L MOORE LCSW (SOLE MEMBER)
(606) 738-4579
Entity
Organization
Contact information
Practice address
32 DALLAS STEPHENS RD, SANDY HOOK, KY 41171-8275
(606) 738-4579
Mailing address
32 DALLAS STEPHENS RD, SANDY HOOK, KY 41171-8275
(606) 738-4579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100364630
—
KY
Enumeration date
10/16/2019
Last updated
12/11/2019
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