Provider Demographics
NPI:1598503559
Name:MY HEARTH THERAPY LLC
Entity type:Organization
Organization Name:MY HEARTH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND MEMBER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENA-HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:206-779-8342
Mailing Address - Street 1:9981 NE KINGSTON FARM RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:WA
Mailing Address - Zip Code:98346-8619
Mailing Address - Country:US
Mailing Address - Phone:206-779-8342
Mailing Address - Fax:
Practice Address - Street 1:9981 NE KINGSTON FARM RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:WA
Practice Address - Zip Code:98346-8619
Practice Address - Country:US
Practice Address - Phone:206-779-8342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty