| Loving Heart Behavioral Health Care Llc | |
|
411 Breunig Ave Trenton NJ 08638-4409 | |
| (646) 981-7025 | |
| Not Available |
| Full Name | Loving Heart Behavioral Health Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 411 Breunig Ave, Trenton, New Jersey |
| Authorized Official Name and Position | Joel F. Mac-attoh (PMHNP) |
| Authorized Official Contact | 6469817025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loving Heart Behavioral Health Care Llc 909 Us-130 Sanate Building Cinnaminson NJ 08077-4409 Ph: (646) 981-7025 | Loving Heart Behavioral Health Care Llc 411 Breunig Ave Trenton NJ 08638-4409 Ph: (646) 981-7025 |
| NPI Number | 1619798501 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/20/2024 |
| Medicare PECOS PAC ID | 4385172105 |
|---|---|
| Medicare Enrollment ID | O20250107003868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619798501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Joel F Mac-attoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255182457 PECOS PAC ID: 2264970896 Enrollment ID: I20240814002937 |
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