| Hearts Filled Llc | |
|
132 N Sycamore St # 27 Petersburg VA 23803-3262 | |
| (804) 955-7332 | |
| Not Available |
| Full Name | Hearts Filled Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 132 N Sycamore St # 27, Petersburg, Virginia |
| Authorized Official Name and Position | Thomas Lee Rives (CAO) |
| Authorized Official Contact | 8049557332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hearts Filled Llc 132 N Sycamore St # 27 Petersburg VA 23803-3262 Ph: (804) 955-7332 | Hearts Filled Llc 132 N Sycamore St # 27 Petersburg VA 23803-3262 Ph: (804) 955-7332 |
| NPI Number | 1174221931 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174221931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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