| Heather Lussier Sole Mbr | |
|
53 Arlington St Asheville NC 28801-2005 | |
| (828) 779-0455 | |
| Not Available |
| Full Name | Heather Lussier Sole Mbr |
|---|---|
| Speciality | Social Worker |
| Location | 53 Arlington St, Asheville, North Carolina |
| Authorized Official Name and Position | Heather Janow (SOLE MEMBER) |
| Authorized Official Contact | 8287790455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Lussier Sole Mbr 32 Clement Dr Asheville NC 28805-1135 Ph: (828) 779-0455 | Heather Lussier Sole Mbr 53 Arlington St Asheville NC 28801-2005 Ph: (828) 779-0455 |
| NPI Number | 1134606072 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Medicare PECOS PAC ID | 3375896442 |
|---|---|
| Medicare Enrollment ID | O20181019002109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134606072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | C007940 (North Carolina) | Primary |
| Provider Name | Heather Janow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982952784 PECOS PAC ID: 9931359288 Enrollment ID: I20121022000536 |
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