Provider Demographics
NPI:1306592845
Name:HEARTS HEALING THERAPY PRACTICE
Entity type:Organization
Organization Name:HEARTS HEALING THERAPY PRACTICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAMORA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:973-592-9395
Mailing Address - Street 1:PO BOX 6193
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08875-6193
Mailing Address - Country:US
Mailing Address - Phone:973-592-9395
Mailing Address - Fax:
Practice Address - Street 1:420 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4504
Practice Address - Country:US
Practice Address - Phone:973-592-9395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty