| Heart & Soul Therapeutic Services Llc | |
|
2520 Old Farm Dr Vineland NJ 08361-3086 | |
| (609) 703-4251 | |
| (609) 939-0700 |
| Full Name | Heart & Soul Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2520 Old Farm Dr, Vineland, New Jersey |
| Authorized Official Name and Position | Marisa Osei (MANAGER) |
| Authorized Official Contact | 6093382244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart & Soul Therapeutic Services Llc 2520 Old Farm Dr Vineland NJ 08361-3086 Ph: (609) 703-4251 | Heart & Soul Therapeutic Services Llc 2520 Old Farm Dr Vineland NJ 08361-3086 Ph: (609) 703-4251 |
| NPI Number | 1508495227 |
|---|---|
| Provider Enumeration Date | 04/04/2020 |
| Last Update Date | 04/04/2020 |
| Certification Date | 04/04/2020 |
| Medicare PECOS PAC ID | 6103256722 |
|---|---|
| Medicare Enrollment ID | O20200423000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508495227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brittany Troup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689209462 PECOS PAC ID: 8628408242 Enrollment ID: I20200423000493 |
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