| Heart Brain Balance, Llc | |
|
1221 N Church St Ste 101 Moorestown NJ 08057-1245 | |
| (609) 505-3068 | |
| Not Available |
| Full Name | Heart Brain Balance, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1221 N Church St Ste 101, Moorestown, New Jersey |
| Authorized Official Name and Position | Carolyn Piro (MANAGER) |
| Authorized Official Contact | 6095053068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Brain Balance, Llc 1221 N Church St Unit 101 Moorestown NJ 08057-1245 Ph: (609) 505-3068 | Heart Brain Balance, Llc 1221 N Church St Ste 101 Moorestown NJ 08057-1245 Ph: (609) 505-3068 |
| NPI Number | 1508562158 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Medicare PECOS PAC ID | 3779939038 |
|---|---|
| Medicare Enrollment ID | O20231024001248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508562158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carolyn Faust Piro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942640487 PECOS PAC ID: 9032432844 Enrollment ID: I20150102000063 |
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