| Healing Hearts Wellness And Care, Llc | |
|
15900 Riverside Dr W Apt 1a70 New York NY 10032-1034 | |
| (914) 262-0163 | |
| Not Available |
| Full Name | Healing Hearts Wellness And Care, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15900 Riverside Dr W Apt 1a70, New York, New York |
| Authorized Official Name and Position | Mildred Adrianna Simplicio (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9142620163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hearts Wellness And Care, Llc 15900 Riverside Dr W Apt 1a70 New York NY 10032-1034 Ph: (914) 262-0163 | Healing Hearts Wellness And Care, Llc 15900 Riverside Dr W Apt 1a70 New York NY 10032-1034 Ph: (914) 262-0163 |
| NPI Number | 1942066618 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 0345776795 |
|---|---|
| Medicare Enrollment ID | O20241209001149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942066618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mildred Simplicio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902324106 PECOS PAC ID: 4486099017 Enrollment ID: I20240305001836 |
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