| Heal Within Therapy LLC | |
|
400 Foxborough Blvd Apt 4302 Foxborough MA 02035-3808 | |
| (508) 221-8822 | |
| Not Available |
| Full Name | Heal Within Therapy LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Foxborough Blvd Apt 4302, Foxborough, Massachusetts |
| Authorized Official Name and Position | Sierra Hinthorne (OWNER) |
| Authorized Official Contact | 5082218822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal Within Therapy LLC 400 Foxborough Blvd Apt 4302 Foxborough MA 02035-3808 Ph: (508) 221-8822 | Heal Within Therapy LLC 400 Foxborough Blvd Apt 4302 Foxborough MA 02035-3808 Ph: (508) 221-8822 |
| NPI Number | 1780451419 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 3476992975 |
|---|---|
| Medicare Enrollment ID | O20240417000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780451419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| Provider Name | Sierra Mikaila Hinthorne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134819162 PECOS PAC ID: 7911346416 Enrollment ID: I20240417000738 |
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