Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heavenly Therapeutic Services LLC

Organization Professional Counselor · NPI 1184025587

Heavenly Therapeutic Services LLC is a Professional Counselor in Fayetteville, Georgia. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Habersham Dr Ste 116
Fayetteville, GA 30214-1381
Phone: (770) 946-2312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1184025587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fredric Blocker — Lpc · (770) 946-2312
NPI enumeratedSeptember 4, 2014
Last updated in NPPESSeptember 4, 2014
Mailing address110 Habersham Dr, Ste 116, Fayetteville, GA 30214-1381

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