| Healing Heart Behavioral Consultation | |
|
155 Bartram Market Dr Ste 135 Saint Johns FL 32259-4583 | |
| (904) 257-6327 | |
| Not Available |
| Full Name | Healing Heart Behavioral Consultation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 155 Bartram Market Dr Ste 135, Saint Johns, Florida |
| Authorized Official Name and Position | Shicara Irvin (OWNER/CEO) |
| Authorized Official Contact | 9042576327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Heart Behavioral Consultation 155 Bartram Market Dr Ste 135 Saint Johns FL 32259-4583 Ph: () - | Healing Heart Behavioral Consultation 155 Bartram Market Dr Ste 135 Saint Johns FL 32259-4583 Ph: (904) 257-6327 |
| NPI Number | 1538904933 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 06/27/2024 |
| Certification Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538904933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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