Organization Name: | HEALING HEARTS LLC |
NPI Number: | 1184967077 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARLA A. RAYMOND (CEO) |
Mailing Address: | 7 Prospect St Caribou |
State: | ME US |
Postal Code: | 047362456 |
Phone Number: | 2074921000 |
Fax Number: | 2074921006 |
NPI Enumeration Date: | 03/29/2013 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 661053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |