Healed Hearts, P.l.l.c. | |
611 E. Lakeside Avenue Coeur D'alene ID 83814 | |
(208) 262-1186 | |
Not Available |
Full Name | Healed Hearts, P.l.l.c. |
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Speciality | Community/behavioral Health |
Location | 611 E. Lakeside Avenue, Coeur D'alene, Idaho |
Authorized Official Name and Position | Christine Brooks (MANAGER) |
Authorized Official Contact | 2082621186 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Healed Hearts, P.l.l.c. Po Box 2416 Coeur D Alene ID 83816-2416 Ph: (208) 262-1186 | Healed Hearts, P.l.l.c. 611 E. Lakeside Avenue Coeur D'alene ID 83814 Ph: (208) 262-1186 |
NPI Number | 1285067595 |
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Provider Enumeration Date | 08/10/2013 |
Last Update Date | 08/04/2015 |
Identifier | Type | State | Issuer |
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1285067595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | LCSW-27678 (Idaho) | Primary |