HEALING HEART MOMENTS, INC; NPI #1215578943

Contact Information

HEALING HEART MOMENTS, INC

149 LEE BYRD RD STE 11
LOGANVILLE, GA 30052-2310

Phone: 678-215-7236
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pastoral	101YP1600X
Addiction (Substance Use Disorder)	103TA0400X	62	Psychologist, Clinical
Adolescent and Children Mental Health	261QM0855X
Clinical Child & Adolescent	103TC2200X	62	Psychologist, Clinical
Clinical Neuropsychologist	103G00000X
Cognitive & Behavioral	103TB0200X	62	Psychologist, Clinical
Community/Behavioral Health	251S00000X
Counseling	103TC1900X	62	Psychologist, Clinical
Forensic	103TF0200X	62	Psychologist, Clinical
Group Psychotherapy	103TP2701X	62	Psychologist, Clinical
Health	103TH0004X	62	Psychologist, Clinical
Professional	101YP2500X
School	101YS0200X
School	103TS0200X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for HEALING HEART MOMENTS, INC

NPI Number	`1215578943`
LBN Legal business name	HEALING HEART MOMENTS, INC
Authorized official	CARMAN CLARK - (PSYCHOLOGIST/LICENSED COUNSELOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/03/2019
Last updated	08/11/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HEALING HEART MOMENTS, INC

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NPI Profile & details for HEALING HEART MOMENTS, INC

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