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NPI Code Detail

MEDICARE: HEALING HEARTS COUSNELING LLC

MEDICARE: HEALING HEARTS COUSNELING 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1922578921
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING HEARTS COUSNELING LLC
Provider Business Mailing Address
First Line : 8354 E NORTHFIELD BLVD UNIT 3700
Second Line :
City : DENVER
State : CO
Zip : 80238-3135
Country : US
Telephone Number : 720-709-4676
Fax Number :
Provider Business Practice Location Address
First Line : 8354 E NORTHFIELD BLVD UNIT 3700
Second Line :
City : DENVER
State : CO
Zip : 80238-3135
Country : US
Telephone Number : 720-709-4676
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : MS. AMBROSIA CORNELIA SHEPARD
Credential : LPC
Telephone Number : 720-345-4005
Provider Enumeration Date : 12/03/2018
Last Update Date : 12/03/2018

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Directions to “HEALING HEARTS COUSNELING LLC ” Practice Location

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