| Healthy Hearts & Minds Llc | |
|
3601 Fontron Dr Edgewater MD 21037-3541 | |
| (443) 420-2826 | |
| Not Available |
| Full Name | Healthy Hearts & Minds Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3601 Fontron Dr, Edgewater, Maryland |
| Authorized Official Name and Position | Johanna Sanchez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4434432826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Hearts & Minds Llc 3601 Fontron Dr Edgewater MD 21037-3541 Ph: (443) 926-4949 | Healthy Hearts & Minds Llc 3601 Fontron Dr Edgewater MD 21037-3541 Ph: (443) 420-2826 |
| NPI Number | 1417506601 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Medicare PECOS PAC ID | 1355719956 |
|---|---|
| Medicare Enrollment ID | O20221201000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417506601 | NPI | - | NPPES |
| Provider Name | Tessie Eberhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992322168 PECOS PAC ID: 6507284304 Enrollment ID: I20221102002496 |
| Provider Name | Johanna G Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518401603 PECOS PAC ID: 4981038056 Enrollment ID: I20221201000936 |
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