Provider Demographics
NPI:1871096370
Name:HEARTS-IN-HEALING THERAPY, LLC
Entity type:Organization
Organization Name:HEARTS-IN-HEALING THERAPY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:AMELIA
Authorized Official - Last Name:MENOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, CAADC
Authorized Official - Phone:586-777-3132
Mailing Address - Street 1:23409 JEFFERSON AVE STE 100B
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-3449
Mailing Address - Country:US
Mailing Address - Phone:586-777-3132
Mailing Address - Fax:248-633-8829
Practice Address - Street 1:23409 JEFFERSON AVE STE 100B
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-3449
Practice Address - Country:US
Practice Address - Phone:586-777-3132
Practice Address - Fax:248-633-8829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-12
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-02929101YA0400X
MI4101006595106H00000X
261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty