HEAVENLY THERAPEUTIC SERVICES LLC
NPI 1184025587
Counselor - Professional in Fayetteville, GA

Active since September 04, 2014
110 HABERSHAM DR, STE 116, FAYETTEVILLE, GA 30214(770) 946-2312 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heavenly Therapeutic Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEAVENLY THERAPEUTIC SERVICES LLC (NPI 1184025587) is a healthcare organization registered as a professional in Fayetteville, Georgia and active in the NPI registry since September 2014. The organization lists Fredric Darnell Blocker, Lpc, as its authorized official.

NPPES Registry Identity

NPI1184025587
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameHEAVENLY THERAPEUTIC SERVICES LLC
Location Address110 HABERSHAM DR, STE 116Fayetteville, GA 30214-1381
Mailing Address110 Habersham Dr, Ste 116Fayetteville, GA 30214-1381
Organization SubpartNo
Authorized OfficialFredric Darnell BlockerLpc · (770) 946-2312
Enumeration DateSeptember 4, 2014
NPI 1184025587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
110 HABERSHAM DR, Fayetteville, GA 30214

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
110 HABERSHAM DR, STE 106
FAYETTEVILLE, GA 30214
Nurse Practitioner (Psychiatric/Mental Health)
110 HABERSHAM DR
FAYETTEVILLE, GA 30214
Psychiatry & Neurology (Child & Adolescent Psychiatry)
110 HABERSHAM DR, SUITE 146
FAYETTEVILLE, GA 30214
Counselor (Professional)
110 HABERSHAM DR, SUITE 109
FAYETTEVILLE, GA 30214
Counselor
110 HABERSHAM DR, STE 110
FAYETTEVILLE, GA 30214
Durable Medical Equipment & Medical Supplies
110 HABERSHAM DR, 104
FAYETTEVILLE, GA 30214
Community/Behavioral Health
110 HABERSHAM DR, SUITE 142
FAYETTEVILLE, GA 30214
Counselor (Professional)
110 HABERSHAM DR, STE 116
FAYETTEVILLE, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heavenly Therapeutic Services LLC's NPI number?

The NPI number for Heavenly Therapeutic Services LLC is 1184025587. It was assigned to this organization in the NPPES registry on September 4, 2014.

Where is Heavenly Therapeutic Services LLC located?

Heavenly Therapeutic Services LLC is located at 110 Habersham Dr Ste 116, Fayetteville, GA 30214. The listed phone number is (770) 946-2312.

What is Heavenly Therapeutic Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Heavenly Therapeutic Services LLC was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.