| Holly Heston, Llc | |
|
530 Prospect Ave Little Silver NJ 07739-1444 | |
| (732) 337-4038 | |
| Not Available |
| Full Name | Holly Heston, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 530 Prospect Ave, Little Silver, New Jersey |
| Authorized Official Name and Position | Holly A Heston (LICENSED CLINICAL SOCIAL WORK) |
| Authorized Official Contact | 7323374038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Heston, Llc 19 Lexington Ct Red Bank NJ 07701-5456 Ph: (732) 337-4038 | Holly Heston, Llc 530 Prospect Ave Little Silver NJ 07739-1444 Ph: (732) 337-4038 |
| NPI Number | 1356881429 |
|---|---|
| Provider Enumeration Date | 03/08/2017 |
| Last Update Date | 03/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356881429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05722300 (New Jersey) | Primary |
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