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NPI Code Detail

MEDICARE: HWL HEAL WITH LOVE LLC

MEDICARE: HWL HEAL WITH LOVE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker57200TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10006FMOTHERTXBLUE CROSS BLUE SHIELD PAR

General Provider Information

NPI Number : 1548752561
Entity Type Code : Organization
Provider Name (Legal Business Name) : HWL HEAL WITH LOVE LLC
Provider Business Mailing Address
First Line : 46 E SUNDANCE CIR
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77382-5728
Country : US
Telephone Number : 281-889-0161
Fax Number : 281-419-1811
Provider Business Practice Location Address
First Line : 2219 SAWDUST RD STE 1101
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-2580
Country : US
Telephone Number : 281-889-0161
Fax Number : 281-419-1811
Authorized Official
Title or Position : MANAGER
Name : MS. LEONIE M FERNANDO
Credential : LCSW
Telephone Number : 281-889-0161
Provider Enumeration Date : 06/05/2018
Last Update Date : 06/05/2018

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Directions to “HWL HEAL WITH LOVE LLC ” Practice Location

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