| H3 - Hope, Health & Healing Pllc | |
|
5503 Nightingale Ct Greensboro NC 27405-9499 | |
| (336) 500-2840 | |
| Not Available |
| Full Name | H3 - Hope, Health & Healing Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5503 Nightingale Ct, Greensboro, North Carolina |
| Authorized Official Name and Position | Leslie R Gonzalez (OWNER) |
| Authorized Official Contact | 3365002840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H3 - Hope, Health & Healing Pllc 5503 Nightingale Ct Greensboro NC 27405-9499 Ph: (336) 500-2840 | H3 - Hope, Health & Healing Pllc 5503 Nightingale Ct Greensboro NC 27405-9499 Ph: (336) 500-2840 |
| NPI Number | 1316559420 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Medicare PECOS PAC ID | 2466852090 |
|---|---|
| Medicare Enrollment ID | O20210617002700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316559420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Leslie R Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720484074 PECOS PAC ID: 6709286321 Enrollment ID: I20210617002482 |
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