Healing Hearts Holistically, Llc | |
10230 Holland Rd Riverview FL 33578 | |
(813) 447-7157 | |
Not Available |
Full Name | Healing Hearts Holistically, Llc |
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Speciality | Social Worker - Clinical |
Location | 10230 Holland Rd, Riverview, Florida |
Authorized Official Name and Position | Javon Lucas (ONWER) |
Authorized Official Contact | 8134477157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Healing Hearts Holistically, Llc 10230 Holland Rd Riverview FL 33578 Ph: () - | Healing Hearts Holistically, Llc 10230 Holland Rd Riverview FL 33578 Ph: (813) 447-7157 |
NPI Number | 1740784719 |
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Provider Enumeration Date | 03/22/2018 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740784719 | NPI | - | NPPES |
016893400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW12832 (Florida) | Primary |
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