King Of Hearts Life Enhancement Services, Llc | |
522 Brick Blvd Brick NJ 08723-6089 | |
(732) 240-2545 | |
(732) 475-6265 |
Full Name | King Of Hearts Life Enhancement Services, Llc |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 522 Brick Blvd, Brick, New Jersey |
Authorized Official Name and Position | Tara Michelle King (DIRECTOR) |
Authorized Official Contact | 7322402545 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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King Of Hearts Life Enhancement Services, Llc 522 Brick Blvd Brick NJ 08723-6089 Ph: (732) 240-2545 | King Of Hearts Life Enhancement Services, Llc 522 Brick Blvd Brick NJ 08723-6089 Ph: (732) 240-2545 |
NPI Number | 1538551072 |
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Provider Enumeration Date | 02/20/2015 |
Last Update Date | 02/20/2015 |
Identifier | Type | State | Issuer |
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1538551072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00034800 (New Jersey) | Primary |
101YP2500X | Counselor - Professional | 37PC00161400 (New Jersey) | Secondary |
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