Provider Demographics
NPI:1629648704
Name:HEARTSTRINGS MENTAL HEALTH PLLC
Entity type:Organization
Organization Name:HEARTSTRINGS MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, PMHNP-BC
Authorized Official - Phone:606-401-1905
Mailing Address - Street 1:95 S LAUREL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40744-8300
Mailing Address - Country:US
Mailing Address - Phone:606-770-5086
Mailing Address - Fax:863-456-1301
Practice Address - Street 1:95 S LAUREL RD STE 1
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40744-8300
Practice Address - Country:US
Practice Address - Phone:606-770-5086
Practice Address - Fax:863-456-1301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)