Organization
HWL HEAL WITH LOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEONIE M FERNANDO LCSW (MANAGER)
(281) 889-0161
Entity
Organization
Contact information
Practice address
2219 SAWDUST RD STE 1101, THE WOODLANDS, TX 77380-2580
(281) 889-0161
(281) 419-1811
Mailing address
46 E SUNDANCE CIR, THE WOODLANDS, TX 77382-5728
(281) 889-0161
(281) 419-1811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
57200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006FM
BLUE CROSS BLUE SHIELD PAR
TX
Enumeration date
06/05/2018
Last updated
06/05/2018
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