| Heather Holzhauser, Lcsw Pllc | |
|
2944 S. Harlem Ave Unit 2 Riverside IL 60546 | |
| (708) 628-7345 | |
| Not Available |
| Full Name | Heather Holzhauser, Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2944 S. Harlem Ave, Riverside, Illinois |
| Authorized Official Name and Position | Heather Holzhauser (OWNER) |
| Authorized Official Contact | 7086287345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Holzhauser, Lcsw Pllc 2944 S. Harlem Ave Unit 2 Riverside IL 60546 Ph: (708) 628-7345 | Heather Holzhauser, Lcsw Pllc 2944 S. Harlem Ave Unit 2 Riverside IL 60546 Ph: (708) 628-7345 |
| NPI Number | 1972378859 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 7214380757 |
|---|---|
| Medicare Enrollment ID | O20240131002541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972378859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Heather R Holzhauser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083859920 PECOS PAC ID: 6901141555 Enrollment ID: I20181231000378 |
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