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Organization

HEARTLOGIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANA BULNES MSW, LCSW, LICSW (CHIEF EXECUTIVE OFFICER)
(802) 557-1065
Entity
Organization

Contact information

Practice address
16782 SW 88TH ST # 344, MIAMI, FL 33196-5934
(802) 557-1065
Mailing address
16782 SW 88TH ST # 344, MIAMI, FL 33196-5934
(802) 557-1065

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
05/24/2022
Last updated
06/21/2023
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