Provider Demographics
NPI:1992914949
Name:HEALING FROM THE HEART, INC.
Entity type:Organization
Organization Name:HEALING FROM THE HEART, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:COTY
Authorized Official - Last Name:RASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:941-358-0807
Mailing Address - Street 1:5340 TRAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-3305
Mailing Address - Country:US
Mailing Address - Phone:941-358-0807
Mailing Address - Fax:941-359-0709
Practice Address - Street 1:5340 TRAYLOR AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-3305
Practice Address - Country:US
Practice Address - Phone:941-358-0807
Practice Address - Fax:941-359-0709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW21031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBG243OtherPTAN
FLBG243OtherPTAN