| Heartfully Mindful Counseling Llc | |
|
805 Turnpike St Ste 201 North Andover MA 01845-6122 | |
| (978) 252-3441 | |
| (978) 252-3450 |
| Full Name | Heartfully Mindful Counseling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 805 Turnpike St Ste 201, North Andover, Massachusetts |
| Authorized Official Name and Position | Cecilia Fernandez-hall (MANAGER) |
| Authorized Official Contact | 9782523441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartfully Mindful Counseling Llc 805 Turnpike St Ste 201 North Andover MA 01845-6122 Ph: (978) 252-3441 | Heartfully Mindful Counseling Llc 805 Turnpike St Ste 201 North Andover MA 01845-6122 Ph: (978) 252-3441 |
| NPI Number | 1629780564 |
|---|---|
| Provider Enumeration Date | 12/22/2022 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Medicare PECOS PAC ID | 1759752017 |
|---|---|
| Medicare Enrollment ID | O20230124001908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629780564 | NPI | - | NPPES |
| 7961 | Other | MA | MA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cecilia M Fernandez-hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528028453 PECOS PAC ID: 0446349047 Enrollment ID: I20071205000111 |
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