Provider Demographics
NPI:1104687243
Name:FROM THE HART COUNSELING
Entity type:Organization
Organization Name:FROM THE HART COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:C
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:727-510-1830
Mailing Address - Street 1:456 LAKEVIEW DR APT 6
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-3708
Mailing Address - Country:US
Mailing Address - Phone:727-510-1830
Mailing Address - Fax:
Practice Address - Street 1:1551 BELCHER RD
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-6743
Practice Address - Country:US
Practice Address - Phone:727-510-1830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health