Heavenly Therapeutic Services LLC
NPI 1184025587 · Professional Counselor · Fayetteville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heavenly Therapeutic Services LLC is a Professional Counselor organization in Fayetteville, GA (NPI 1184025587).
Provider details
- NPI number
- 1184025587
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Fredric Blocker, Lpc(770) 946-2312
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-09-04
- Last updated
- 2014-09-04
Frequently asked questions
- What is Heavenly Therapeutic Services LLC's NPI number?
- Heavenly Therapeutic Services LLC's National Provider Identifier (NPI) is 1184025587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heavenly Therapeutic Services LLC?
- Heavenly Therapeutic Services LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Heavenly Therapeutic Services LLC located?
- Heavenly Therapeutic Services LLC's practice location on file with NPPES is 110 Habersham Dr, Fayetteville, GA 30214-1381.
- What is Heavenly Therapeutic Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Heavenly Therapeutic Services LLC is (770) 946-2312.
- Does Heavenly Therapeutic Services LLC accept Medicare?
- Heavenly Therapeutic Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Heavenly Therapeutic Services LLC?
- The authorized official listed on Heavenly Therapeutic Services LLC's NPPES record is Fredric Blocker, Lpc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heavenly Therapeutic Services LLC's NPI active?
- Yes — Heavenly Therapeutic Services LLC's NPI (1184025587) is active in the NPPES registry as of the last update on 2014-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.