Raven Heart, LLC

NPI #1275347270 in Madison, Alabama

Provider Information

NPI Number: 1275347270
Entity Type: Organization
Organization Name: Raven Heart, LLC
Primary Specialty: Counselor
Enumeration Date: Feb 3, 2025
Last Updated: Feb 3, 2025

Practice Location

Address: 9694 MADISON BLVD STE A10
City: Madison
State: Alabama
ZIP Code: 35758-9137
Phone: (256) 203-6558

Authorized Official

Name: MAXIMILLIAN ALEXANDER HAMKE, MA, LPC
Title: OWNER
Phone: (256) 203-6558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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