Provider Demographics
NPI:1457182313
Name:HEARTBEAT CIFC, LLC
Entity type:Organization
Organization Name:HEARTBEAT CIFC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADELE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARUCH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:516-900-4038
Mailing Address - Street 1:25 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04038-2573
Mailing Address - Country:US
Mailing Address - Phone:516-900-4038
Mailing Address - Fax:
Practice Address - Street 1:169 PARK ROW
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2039
Practice Address - Country:US
Practice Address - Phone:516-900-4038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty