Organization · NPI-2

Haven Of The Heart Counseling Services, PLLC

Social Worker, Clinical · North Little Rock, AR

NPI number1033819446
StatusActive
Last updated in NPPESApr 14, 2023

Details

NPI
1033819446
Entity type
Organization (NPI-2)
Legal business name
Haven Of The Heart Counseling Services, PLLC
Organization subpart
No
Enumeration date
Mar 6, 2023
Certification date
Apr 14, 2023
Last updated
Apr 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––

Practice location

115 W Broadway St
North Little Rock, AR 72114-5628

Phone 501-487-1558

Mailing address

2908 Waterfront Cv
Sherwood, AR 72120-8041

Phone 501-920-9625

Authorized official

Shalae N Hesselbein
Owner
5019209625

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