| Healed Hearts, P.l.l.c. | |
|
611 E. Lakeside Avenue Coeur D'alene ID 83814 | |
| (208) 262-1186 | |
| Not Available |
| Full Name | Healed Hearts, P.l.l.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 611 E. Lakeside Avenue, Coeur D'alene, Idaho |
| Authorized Official Name and Position | Christine Brooks (MANAGER) |
| Authorized Official Contact | 2082621186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healed Hearts, P.l.l.c. Po Box 2416 Coeur D Alene ID 83816-2416 Ph: (208) 262-1186 | Healed Hearts, P.l.l.c. 611 E. Lakeside Avenue Coeur D'alene ID 83814 Ph: (208) 262-1186 |
| NPI Number | 1285067595 |
|---|---|
| Provider Enumeration Date | 08/10/2013 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285067595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW-27678 (Idaho) | Primary |