| Healing Hearts Carroll Llc | |
|
280 E Main St Ste 202 Westminster MD 21157-5530 | |
| (410) 294-9612 | |
| Not Available |
| Full Name | Healing Hearts Carroll Llc |
|---|---|
| Speciality | Social Worker |
| Location | 280 E Main St Ste 202, Westminster, Maryland |
| Authorized Official Name and Position | Laura Coulter (OWNER/PRACTICINER) |
| Authorized Official Contact | 4102949612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hearts Carroll Llc 629 Marpete Dr Hampstead MD 21074-1740 Ph: (410) 294-9612 | Healing Hearts Carroll Llc 280 E Main St Ste 202 Westminster MD 21157-5530 Ph: (410) 294-9612 |
| NPI Number | 1396437216 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Medicare PECOS PAC ID | 7810356268 |
|---|---|
| Medicare Enrollment ID | O20230704000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396437216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura Coulter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710362926 PECOS PAC ID: 3476868712 Enrollment ID: I20150817001222 |
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