| Heartfelt Haven, Llc | |
|
505 Madison St Portsmouth VA 23704-6721 | |
| (757) 513-2021 | |
| Not Available |
| Full Name | Heartfelt Haven, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 505 Madison St, Portsmouth, Virginia |
| Authorized Official Name and Position | Latricia Patterson (CO CEO) |
| Authorized Official Contact | 7575132021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartfelt Haven, Llc 505 Madison St Portsmouth VA 23704-6721 Ph: (757) 513-2021 | Heartfelt Haven, Llc 505 Madison St Portsmouth VA 23704-6721 Ph: (757) 513-2021 |
| NPI Number | 1861238826 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861238826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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