Mary L Heaven, LAC
Acupuncturist in Old Greenwich, Connecticut
1073083622- Practice location
- 3 Heusted Dr, Old Greenwich, CT 06870-1918
- Phone
- 203-536-3865
- Fax
- —
- Last updated
- November 27, 2018
Mary Louanna Heaven is an Acupuncturist based in Old Greenwich, CT. Mary Louanna Heaven practices in Old Greenwich, CT and has the professional credentials of LAC. The NPI Number for Mary Louanna Heaven is 1073083622 and holds a License No. 0696 (CT). The current practice location address for Mary Louanna Heaven is 3 Heusted Dr, Old Greenwich, CT 06870-1918 and can be reached out via phone at 203-536-3865.
Provider Profile Details
- NPI Number
- 1073083622
- Provider Name
- Mary Louanna Heaven
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3 Heusted Dr, Old Greenwich, CT 06870-1918
- Phone Number
- 203-536-3865
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 27, 2018
- Last Update Date
- November 27, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Heusted Dr
Old Greenwich, CT 06870-1918 - City
- Old Greenwich
- State
- Connecticut
- Zip
- 06870-1918
- Phone Number
- 203-536-3865
Provider Business Mailing Address Details
- Address
- 3 Heusted Dr
Old Greenwich, CT 06870-1918 - City
- Old Greenwich
- State
- CT
- Zip
- 06870-1918
- Phone Number
- 203-536-3865
License Information
- License Number
- 0696
- License State
- CT
- Taxonomy
- Acupuncturist · 171100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mary L Heaven, LAC?
The NPI number of Mary L Heaven, LAC is 1073083622. It was assigned on November 27, 2018 and is currently active in the NPPES registry.
What is the specialty of Mary L Heaven, LAC?
Mary L Heaven, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in CT under license number 0696.
Where does Mary L Heaven, LAC practice?
The practice location is 3 Heusted Dr, Old Greenwich, CT 06870-1918. The office can be reached at 203-536-3865 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073083622 directly on the NPPES registry website.