HEART SMART (NPI# 1407393796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407393796 |
| Entity Type | Organization |
| Organization Name | HEART SMART |
| Practice Address |
2487 Demere Rd Suite 500 St Simons Island GA 31522-5639 |
| Mailing Address |
Po Box 20832 St Simons Island GA 31522-0432 |
| Practice Telephone | 9124015969 |
| Mailing Telephone | 9124015969 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | MR. STEPHEN DOUGLAS HENDRIX (THERAPIST) |
| Authorized Official Telephone | 9124015969 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC008952 | GA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | HEART SMART CARDIOVASCULAR TESTING, LLC | |
| New York State Corporations | HEART SMART CONSULTING INC. | 41 Wellington Road, Matinecock, Ny 11560 |
| Colorado Business Entities | Heart Smart CPR and First Aid | 465 S Wright St, Apt 101, Lakewood, CO 80228 |
| Virginia Business Entities | HEART SMART DATING OF RICHMOND LLC | 602 Cicero Dr, Ruther Glen, Virginia 22546 |
| Connecticut Business Registrations | HEART SMART FIT KIDS/BODYWISE BY BETTY LLC | 990 Hope Street, Stamford, CT 06907 |
| Massachusetts Corporations | HEART SMART FOODS, INC. | Pob # 491, Needham, MA 02194 |
| New York State Corporations | HEART SMART INC. | 225 Old Country Road, Melville, Ny 11747 |
| New York State Corporations | HEART SMART MEDICAL EDUCATION LLC | 809 Bedford Rd, Schenectady, New York 12308 |
| Connecticut Business Registrations | HEART SMART TECHNOLOGY LLC | 37 Main Street, #1301, New Milford, CT 06776 |
| Oklahoma Business Registrations | HEART SMART, LLC | 14602 S Kendalwood Ave, Glenpool, OK 74033 |
| Street Address |
2487 DEMERE RD SUITE 500 |
| City | ST SIMONS ISLAND |
| State | GA |
| Zip Code | 31522-5639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003958638 | St. Simons Island Dental Associates, PC | Dentist | 2487 Demere Rd, Ste 100, St Simons Island, GA 31522-5639 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982186342 | Matthew Mackinnon Gibbs | Specialist/Technologist | 211 Village Dr, St Simons Is, GA 31522 | 2018-09-02 |
| 1770957433 | Jennifer Herrin, Lpc | Community/Behavioral Health | 400 Main Street, Cottage 1, Saint Simons Island, GA 31522 | 2015-11-18 |
| 1508113002 | Ashley Neal Callicutt | Counselor | 301 Sea Island Road, Suite G, St. Simons Island, GA 31522 | 2012-08-14 |
| 1235414103 | Dana D'andrea Duggan | Psychologist | 283 Redfern Village, St. Simons Island, GA 31522 | 2011-10-11 |
| 1528394848 | Nancy Hodges Bowen | Nurse Practitioner | 7000 Wellness Way, Suite 130, St. Simons Island, GA 31522 | 2009-10-21 |
| 1073763215 | John Arthur Hendry | Dentist | 511 Mallery Street, St. Simons Island, GA 31522 | 2008-09-24 |
| 1770775116 | Randolph M. Stevens | Dentist | Coastal Endodontic Associates, 1804 Frederica Rd., Ste B, St. Simons Island, GA 31522 | 2007-08-09 |
| 1689797383 | Angela C Barnard | Nurse Practitioner | 798 Mallery St Apt 2, Saint Simons Island, GA 31522 | 2007-04-09 |
| 1053493486 | Larry D. Daugherty | Dentist | 124 Island Professional Park, St Simons Island, GA 31522 | 2006-10-19 |
| 1134239460 | Joe Neil Garner | Dentist | 288 Redfern Village, St Simons Island, GA 31522 | 2006-08-30 |
| Find all providers in zip 31522 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356742811 | Aubrie Lynn Reedy | Counselor | 109 Meadows Dr, St Simons Island, GA 31522-1806 | 2014-09-15 |
| 1427395284 | Mary Beth Currey | Counselor | 548 Brockinton S, St Simons Island, GA 31522-6016 | 2013-01-13 |
| 1730402207 | Allyn D Robb Jr. | Counselor | 545 Oglethorpe Ave, Suite 204, St Simons Island, GA 31522-1562 | 2010-03-11 |
| 1912019084 | Brenda B Hollis | Counselor | 1626 Frederica Rd, Suite 203, St Simons Island, GA 31522-2529 | 2006-08-31 |
| 1407058175 | Brenda B Hollis, Lpc, PC | Counselor | 1626 Frederica Rd, Suite 203, St Simons Island, GA 31522-2529 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1114528957 | Takelia Hughey | Counselor | 2875 Spring Villa Ln Se, Smyrna, GA 30080-3644 | 2020-11-06 |
| 1083215685 | Peace of Mind Counseling and Therapeutic Services | Counselor | 290 Baywood Way, Hiram, GA 30141-3186 | 2020-11-02 |
| 1780284513 | Hogue Counseling and Consulting Services, LLC | Counselor | 7861 Waterlace Dr, Fairburn, GA 30213-4648 | 2020-10-30 |
| 1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1598365033 | Tiffany Johnson | Counselor | 309 Ivy Chase Ln, Peachtree Corners, GA 30092-4641 | 2020-10-26 |
| 1568061331 | Justin White | Counselor | 1025 Powers Pl, Alpharetta, GA 30009-8356 | 2020-10-22 |
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | ST SIMONS ISLAND |
| Zip Code | 31522 |
Please comment or provide details below to improve the information on HEART SMART.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.