| Organization Name: | HEATHER HOAGLAND LLC |
| NPI Number: | 1992150536 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEATHER HOAGLAND (OWNER AND CLINICIAN) |
| Mailing Address: | 14 Bush Hill Dr Niantic |
| State: | CT US |
| Postal Code: | 063571805 |
| Phone Number: | 2039121933 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2016 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 009364 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |