| Healing Hearts Therapy, Llc | |
|
305 E South St Suite 102 Lindale TX 75771-3490 | |
| (719) 260-1221 | |
| Not Available |
| Full Name | Healing Hearts Therapy, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 305 E South St, Lindale, Texas |
| Authorized Official Name and Position | Mary Robin Newman (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7192601221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hearts Therapy, Llc 305 E South St Suite 102 Lindale TX 75771-3490 Ph: (719) 260-1221 | Healing Hearts Therapy, Llc 305 E South St Suite 102 Lindale TX 75771-3490 Ph: (719) 260-1221 |
| NPI Number | 1609314129 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 02/17/2017 |
| Medicare PECOS PAC ID | 6103100458 |
|---|---|
| Medicare Enrollment ID | O20170306000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609314129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 37166 (Texas) | Primary |
| Provider Name | Mary Robin Newman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881997658 PECOS PAC ID: 8820389661 Enrollment ID: I20160624001087 |
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