Provider Demographics
NPI:1679267983
Name:HEALING HEARTS THERAPY PLLC
Entity type:Organization
Organization Name:HEALING HEARTS THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOVA
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:603-651-5019
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NH
Mailing Address - Zip Code:03849-0208
Mailing Address - Country:US
Mailing Address - Phone:603-810-8721
Mailing Address - Fax:
Practice Address - Street 1:90 ODELL HILL RD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-4401
Practice Address - Country:US
Practice Address - Phone:603-651-5019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty