Organization
HEALED HEARTS, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BROOKS LCSW (MANAGER)
(208) 262-1186
Entity
Organization
Contact information
Practice address
611 E. LAKESIDE AVENUE, COEUR D'ALENE, ID 83814
(208) 262-1186
Mailing address
PO BOX 2416, COEUR D ALENE, ID 83816-2416
(208) 262-1186
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-27678
ID
Other
Enumeration date
08/10/2013
Last updated
08/04/2015
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