Heart Tree Llc

LBN: Heart Tree Llc
Heart Tree Llc is an health care organization with primary practice located at 315 W Ponce De Leon Ave Ste 480 , Decatur GA 30030-2489. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Heart Tree Llc can be contacted via phone (404) 375-4448, or through Goodell, Jannah S via phone (404) 375-4448.

Contact Information

Primary practice address
315 W Ponce De Leon Ave Ste 480 Decatur GA 30030-2489
Fax:
Website:
Authorized official contact:
Name: Goodell, Jannah S Licensed Professional Counselor (LPC)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1033683495
LBN Legal business name Heart Tree Llc
DBA Doing business as
Authorized official Goodell, Jannah S Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2019
Last updated Jan 17th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033683495 NPPES
Georgia Other CSW4122 LICENSE

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