| Hwl Heal With Love Llc | |
|
2219 Sawdust Rd Ste 1101 The Woodlands TX 77380-2580 | |
| (281) 889-0161 | |
| (281) 419-1811 |
| Full Name | Hwl Heal With Love Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2219 Sawdust Rd Ste 1101, The Woodlands, Texas |
| Authorized Official Name and Position | Leonie M Fernando (MANAGER) |
| Authorized Official Contact | 2818890161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hwl Heal With Love Llc 46 E Sundance Cir The Woodlands TX 77382-5728 Ph: (281) 889-0161 | Hwl Heal With Love Llc 2219 Sawdust Rd Ste 1101 The Woodlands TX 77380-2580 Ph: (281) 889-0161 |
| NPI Number | 1548752561 |
|---|---|
| Provider Enumeration Date | 06/05/2018 |
| Last Update Date | 06/05/2018 |
| Medicare PECOS PAC ID | 3779838735 |
|---|---|
| Medicare Enrollment ID | O20180614001423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548752561 | NPI | - | NPPES |
| 0006FM | Other | TX | BLUE CROSS BLUE SHIELD PAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 57200 (Texas) | Primary |
| Provider Name | Leonie M Fernando |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285142836 PECOS PAC ID: 5092060053 Enrollment ID: I20180615000035 |
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