Provider Demographics
NPI:1053734699
Name:HEAL WITH HEART, LLC
Entity type:Organization
Organization Name:HEAL WITH HEART, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LEEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:615-669-2167
Mailing Address - Street 1:217 JAMESTOWN PARK
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1500
Mailing Address - Country:US
Mailing Address - Phone:615-669-2167
Mailing Address - Fax:
Practice Address - Street 1:217 JAMESTOWN PARK
Practice Address - Street 2:SUITE 2
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1500
Practice Address - Country:US
Practice Address - Phone:615-669-2167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ002053Medicaid
12584045OtherCAQH