| Healing Hearts Center Llc | |
|
365 W Reed Rd Ste B Greenville MS 38701-6967 | |
| (662) 390-6052 | |
| Not Available |
| Full Name | Healing Hearts Center Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 365 W Reed Rd Ste B, Greenville, Mississippi |
| Authorized Official Name and Position | Valina Williams (OWNER) |
| Authorized Official Contact | 6623906052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hearts Center Llc 365 W Reed Rd Ste B Greenville MS 38701-6967 Ph: (662) 390-6052 | Healing Hearts Center Llc 365 W Reed Rd Ste B Greenville MS 38701-6967 Ph: (662) 390-6052 |
| NPI Number | 1821783168 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 05/03/2023 |
| Medicare PECOS PAC ID | 1355704867 |
|---|---|
| Medicare Enrollment ID | O20230831001916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821783168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Valina Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447928148 PECOS PAC ID: 6608244371 Enrollment ID: I20221130002561 |
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