| Healing Hearts Healing Lives Llc | |
|
304 Main Street Farmington CT 06032-2985 | |
| (203) 903-3253 | |
| (203) 439-2087 |
| Full Name | Healing Hearts Healing Lives Llc |
|---|---|
| Speciality | Social Worker |
| Location | 304 Main Street, Farmington, Connecticut |
| Authorized Official Name and Position | Nicole Galarraga (OWNER) |
| Authorized Official Contact | 2039033253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hearts Healing Lives Llc 25 Kilmartin Avenue Wolcott CT 06716-1210 Ph: (203) 903-3253 | Healing Hearts Healing Lives Llc 304 Main Street Farmington CT 06032-2985 Ph: (203) 903-3253 |
| NPI Number | 1922513688 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 12/04/2017 |
| Medicare PECOS PAC ID | 2668727504 |
|---|---|
| Medicare Enrollment ID | O20180619000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922513688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Connecticut) | Primary |
| Provider Name | Nicole M Galarraga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891081568 PECOS PAC ID: 1557583184 Enrollment ID: I20141114000085 |
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