HEATHER HART KENNEDY LCSW LLC NPI 1053934034

NPI Information

NPI: 1053934034
Provider Name: HEATHER HART KENNEDY, LCSW, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1110 N OLD WORLD 3RD ST STE 401
MILWAUKEE, WI
ZIP 53203
Phone: (414) 224-0800
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HEATHER HART KENNEDY, LCSW, LLC is a mental health (including community mental health center) clinic center in Milwaukee, WI. HEATHER HART KENNEDY, LCSW, LLC NPI is 1053934034. The provider is registered as an organization entity type.

The provider's business location address is:

1110 N OLD WORLD 3RD ST STE 401
MILWAUKEE, WI
ZIP 53203-117
Phone: (414) 224-0800
Fax: (414) 224-0883

The provider's authorized official is Heather Jean Hart Kennedy .
The authorized official title is Owner and has the following contact phone number (414) 614-6299.

The enumeration date for this NPI number is 5/25/2020 and was last updated on 5/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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