| Health With Heart Counseling Llc | |
|
5010 Randall Pkwy Wilmington NC 28403-2829 | |
| (910) 791-5719 | |
| (910) 799-8180 |
| Full Name | Health With Heart Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 5010 Randall Pkwy, Wilmington, North Carolina |
| Authorized Official Name and Position | Rebecca A Mullins (PRACTICE MANAGER) |
| Authorized Official Contact | 9107915719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health With Heart Counseling Llc 5010 Randall Pkwy Wilmington NC 28403-2829 Ph: (910) 791-5719 | Health With Heart Counseling Llc 5010 Randall Pkwy Wilmington NC 28403-2829 Ph: (910) 791-5719 |
| NPI Number | 1063274017 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 5698115533 |
|---|---|
| Medicare Enrollment ID | O20240425003317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063274017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Susan Passafiume Shafer |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1386880664 PECOS PAC ID: 6507206448 Enrollment ID: I20240425003390 |
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