| Kathlyn Heckart Llc | |
|
38 Bellevue Ave Ste J Newport RI 02840-3260 | |
| (401) 324-9194 | |
| Not Available |
| Full Name | Kathlyn Heckart Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 38 Bellevue Ave Ste J, Newport, Rhode Island |
| Authorized Official Name and Position | Kathlyn Heckart (OWNER) |
| Authorized Official Contact | 4013249194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathlyn Heckart Llc Po Box 591 Newport RI 02840-0500 Ph: (401) 324-9194 | Kathlyn Heckart Llc 38 Bellevue Ave Ste J Newport RI 02840-3260 Ph: (401) 324-9194 |
| NPI Number | 1003323221 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Medicare PECOS PAC ID | 7416217534 |
|---|---|
| Medicare Enrollment ID | O20180212000746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003323221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ISW02100 (Rhode Island) | Primary |
| Provider Name | Kathlyn Heckart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740304559 PECOS PAC ID: 5193982858 Enrollment ID: I20120208000052 |
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