| Healing Hearts Mental Health Therapy | |
|
212 S 11th St Ste 5 Coeur D Alene ID 83814-4000 | |
| (208) 651-9400 | |
| Not Available |
| Full Name | Healing Hearts Mental Health Therapy |
|---|---|
| Speciality | Counselor |
| Location | 212 S 11th St Ste 5, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Kimberly Lynn Shelden (OWNER/THERAPIST) |
| Authorized Official Contact | 2086519400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hearts Mental Health Therapy 212 S 11th St Ste 5 Coeur D Alene ID 83814-4000 Ph: (208) 651-9400 | Healing Hearts Mental Health Therapy 212 S 11th St Ste 5 Coeur D Alene ID 83814-4000 Ph: (208) 651-9400 |
| NPI Number | 1316573819 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Medicare PECOS PAC ID | 5092130161 |
|---|---|
| Medicare Enrollment ID | O20200806001117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316573819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Laura Elaine Cartwright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457664294 PECOS PAC ID: 7113173451 Enrollment ID: I20120802000070 |
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