Hart Counseling Services Pllc | |
1609 7th Ave Ne Jamestown ND 58401-2518 | |
(701) 320-7005 | |
Not Available |
Full Name | Hart Counseling Services Pllc |
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Speciality | Community/Behavioral Health |
Location | 1609 7th Ave Ne, Jamestown, North Dakota |
Authorized Official Name and Position | Tim E Hart (PRESIDENT/CEO) |
Authorized Official Contact | 7013207005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hart Counseling Services Pllc 1609 7th Ave Ne Jamestown ND 58401-2518 Ph: () - | Hart Counseling Services Pllc 1609 7th Ave Ne Jamestown ND 58401-2518 Ph: (701) 320-7005 |
NPI Number | 1790083228 |
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Provider Enumeration Date | 03/08/2011 |
Last Update Date | 03/08/2011 |
Medicare PECOS PAC ID | 8921281403 |
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Medicare Enrollment ID | O20110321000769 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790083228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4148 (North Dakota) | Primary |
Provider Name | Timothy E Hart |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295043362 PECOS PAC ID: 3274716766 Enrollment ID: I20110321000807 |
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