Provider Demographics
NPI:1104528256
Name:EMERGING HEARTS MENTAL WELLNESS CENTER, PLLC
Entity type:Organization
Organization Name:EMERGING HEARTS MENTAL WELLNESS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TORRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWA, LCASA
Authorized Official - Phone:910-469-1342
Mailing Address - Street 1:3011 TOWN CENTER DR.
Mailing Address - Street 2:STE 130 UNIT 125
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-0049
Mailing Address - Country:US
Mailing Address - Phone:910-469-1342
Mailing Address - Fax:
Practice Address - Street 1:3011 TOWN CENTER DR.
Practice Address - Street 2:STE 130 UNIT 125
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-0049
Practice Address - Country:US
Practice Address - Phone:910-469-1342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty