| The Healing Hearts Studio | |
|
114 E Main St Ste A1b-20 Buford GA 30518 | |
| (219) 898-9103 | |
| Not Available |
| Full Name | The Healing Hearts Studio |
|---|---|
| Speciality | Social Worker |
| Location | 114 E Main St Ste A1b-20, Buford, Georgia |
| Authorized Official Name and Position | Leigh Regine Westergren (OWNER) |
| Authorized Official Contact | 2198989103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Hearts Studio Po Box 2257 Chesterton IN 46304-0357 Ph: (219) 898-9103 | The Healing Hearts Studio 114 E Main St Ste A1b-20 Buford GA 30518 Ph: (219) 898-9103 |
| NPI Number | 1669017075 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Medicare PECOS PAC ID | 3577925924 |
|---|---|
| Medicare Enrollment ID | O20230816002966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669017075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Leigh Westergren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386156263 PECOS PAC ID: 1759611718 Enrollment ID: I20230816003155 |
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