| Holly Heaven | |
|
1057 Broad St Ste 304 Bridgeport CT 06604-4219 | |
| (203) 545-1582 | |
| Not Available |
| Full Name | Holly Heaven |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1057 Broad St Ste 304, Bridgeport, Connecticut |
| Authorized Official Name and Position | Holly Heaven (OWNER) |
| Authorized Official Contact | 2035451582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Heaven Po Box 11 Derby CT 06418-0011 Ph: (203) 545-1582 | Holly Heaven 1057 Broad St Ste 304 Bridgeport CT 06604-4219 Ph: (203) 545-1582 |
| NPI Number | 1639791106 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639791106 | NPI | - | NPPES |
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