Provider Demographics
NPI:1194295246
Name:HEALING HEARTS COUNSELING SERVICE PLLC
Entity type:Organization
Organization Name:HEALING HEARTS COUNSELING SERVICE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHENITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MBA MA LPC RPT
Authorized Official - Phone:580-798-3650
Mailing Address - Street 1:98 BROADLAWN SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-1723
Mailing Address - Country:US
Mailing Address - Phone:580-798-3650
Mailing Address - Fax:855-237-6279
Practice Address - Street 1:98 BROADLAWN SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-1723
Practice Address - Country:US
Practice Address - Phone:580-798-3650
Practice Address - Fax:855-237-6279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-02
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK273320662OtherPRIVATE INSURANCE