Provider Demographics
NPI:1669364048
Name:CM HEART2SOUL, LLC
Entity type:Organization
Organization Name:CM HEART2SOUL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE/MENTAL HEALTH COUN
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:D
Authorized Official - Last Name:FILES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC MA BSN RN
Authorized Official - Phone:260-804-9563
Mailing Address - Street 1:1118 E BELMONT DR
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46806-5181
Mailing Address - Country:US
Mailing Address - Phone:260-804-9563
Mailing Address - Fax:
Practice Address - Street 1:2513 S CALHOUN ST STE 102
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46807-1305
Practice Address - Country:US
Practice Address - Phone:260-804-9563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty