Provider Demographics
NPI:1891046488
Name:HAPPY HEART HEALTH CENTER INC.
Entity Type:Organization
Organization Name:HAPPY HEART HEALTH CENTER INC.
Other - Org Name:EILEEN MANGLASS, LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANGLASS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-653-0776
Mailing Address - Street 1:81 MAIN ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-5883
Mailing Address - Country:US
Mailing Address - Phone:207-653-0776
Mailing Address - Fax:
Practice Address - Street 1:81 MAIN ST
Practice Address - Street 2:SUITE 105
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-5883
Practice Address - Country:US
Practice Address - Phone:207-653-0776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC9716261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health