Provider Demographics
NPI:1972376200
Name:LISTENING HANDS CARE SERVICES, LLC
Entity type:Organization
Organization Name:LISTENING HANDS CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOLISTIC REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:LADEIDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOTEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:770-778-1702
Mailing Address - Street 1:412 CONYERS RD
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-2650
Mailing Address - Country:US
Mailing Address - Phone:770-778-1702
Mailing Address - Fax:
Practice Address - Street 1:412 CONYERS RD
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-2650
Practice Address - Country:US
Practice Address - Phone:770-778-1702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LISTENING HANDS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory CareGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty