Organization
HEARTWISE HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE LEE LCSW (SOCIAL WORKER)
(732) 325-5802
Entity
Organization
Contact information
Practice address
625 WALDEN CIR APT 103, BOULDER, CO 80305-7606
(732) 325-5802
Mailing address
625 WALDEN CIR APT 103, BOULDER, CO 80305-7606
(732) 325-5802
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
07/14/2023
Last updated
07/14/2023
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