Provider Demographics
NPI:1447815824
Name:CENTER FOR HEALING HEARTS
Entity type:Organization
Organization Name:CENTER FOR HEALING HEARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CUEVAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:985-774-8099
Mailing Address - Street 1:356 CEDAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-9638
Mailing Address - Country:US
Mailing Address - Phone:985-774-8099
Mailing Address - Fax:985-206-5064
Practice Address - Street 1:1310 BROWNSWITCH RD., SUITED
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-1608
Practice Address - Country:US
Practice Address - Phone:985-774-1696
Practice Address - Fax:985-206-5064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty