| Heartspring, Inc. | |
|
3707 Latrobe Dr Ste 460 Charlotte NC 28211-1361 | |
| (704) 366-6522 | |
| (704) 366-6529 |
| Full Name | Heartspring, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3707 Latrobe Dr Ste 460, Charlotte, North Carolina |
| Authorized Official Name and Position | Richard Furman Williamson (PRESIDENT) |
| Authorized Official Contact | 7043666522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartspring, Inc. 3707 Latrobe Dr Ste 460 Charlotte NC 28211-1361 Ph: (704) 366-6522 | Heartspring, Inc. 3707 Latrobe Dr Ste 460 Charlotte NC 28211-1361 Ph: (704) 366-6522 |
| NPI Number | 1083776579 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 05/06/2021 |
| Certification Date | 11/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083776579 | NPI | - | NPPES |
| 3409285 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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