Hearts Filled Llc | |
132 N Sycamore St # 27 Petersburg VA 23803-3262 | |
(804) 955-7332 | |
Not Available |
Full Name | Hearts Filled Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 132 N Sycamore St # 27, Petersburg, Virginia |
Authorized Official Name and Position | Thomas Lee Rives (CAO) |
Authorized Official Contact | 8049557332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hearts Filled Llc 132 N Sycamore St # 27 Petersburg VA 23803-3262 Ph: (804) 955-7332 | Hearts Filled Llc 132 N Sycamore St # 27 Petersburg VA 23803-3262 Ph: (804) 955-7332 |
NPI Number | 1174221931 |
---|---|
Provider Enumeration Date | 02/21/2023 |
Last Update Date | 02/21/2023 |
Certification Date | 02/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174221931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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