Provider Demographics
NPI:1154885366
Name:TRANSFORMING HEARTS, LLC
Entity type:Organization
Organization Name:TRANSFORMING HEARTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LPC, LSATP
Authorized Official - Phone:757-537-5289
Mailing Address - Street 1:700 MONTICELLO AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2529
Mailing Address - Country:US
Mailing Address - Phone:757-937-9915
Mailing Address - Fax:757-299-0833
Practice Address - Street 1:700 MONTICELLO AVE STE 350
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2529
Practice Address - Country:US
Practice Address - Phone:757-937-9915
Practice Address - Fax:757-299-0833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty