| Dr Heidi E Keller, PHD | |
|
30 Sparta Ave., Sparta, NJ 07871 | |
| (973) 729-3832 | |
| (973) 729-6114 |
| Full Name | Dr Heidi E Keller |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 30 Sparta Ave., Sparta, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801088356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37PC00325500 (New Jersey) | Primary |
| 103TC1900X | Psychologist - Counseling | 016695-1 (New York) | Secondary |
| Entity Name | Live Well Psychology Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902459670 PECOS PAC ID: 5799187928 Enrollment ID: O20210712000997 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heidi E Keller, PHD 30 Sparta Ave., Sparta, NJ 07871 Ph: (973) 729-3832 | Dr Heidi E Keller, PHD 30 Sparta Ave., Sparta, NJ 07871 Ph: (973) 729-3832 |
Isabel Juliette Nassi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Main St, Sparta, NJ 07871 Phone: 201-498-9140 | |
Tierney Veliz, MA, ED.S, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Woodport Rd Ste 209, Sparta, NJ 07871 Phone: 973-512-3700 | |
Melony K Bishop, Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Woodport Rd, Sparta, NJ 07871 Phone: 973-512-3700 | |
Elizabeth Ellis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Sparta Ave, #203, Sparta, NJ 07871 Phone: 973-573-1500 | |
Cassidy Spohn, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Woodport Rd, Sparta, NJ 07871 Phone: 973-512-3700 | |
Lisa Arline Frisbie, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Main Street Rear Suite, Sparta, NJ 07871 Phone: 908-291-8466 | |
Paul Joseph Burns, Counselor Medicare: Medicare Enrolled Practice Location: 9 Fishers Ln, Sparta, NJ 07871 Phone: 973-726-4533 |