| Heartswell | |
|
1600 Wilson Blvd Ste 702 Arlington VA 22209-2505 | |
| (703) 220-0951 | |
| Not Available |
| Full Name | Heartswell |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1600 Wilson Blvd Ste 702, Arlington, Virginia |
| Authorized Official Name and Position | Luann C. Oliver (OWNER) |
| Authorized Official Contact | 7032200951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartswell 1600 Wilson Blvd Ste 702 Arlington VA 22209-2505 Ph: (703) 220-0951 | Heartswell 1600 Wilson Blvd Ste 702 Arlington VA 22209-2505 Ph: (703) 220-0951 |
| NPI Number | 1760978704 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 07/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760978704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904007671 (Virginia) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | 0904007671 (Virginia) | Secondary |
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