Provider Demographics
NPI:1194335257
Name:HEART AND SOUL CONNECTIONS LLC
Entity type:Organization
Organization Name:HEART AND SOUL CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABBE
Authorized Official - Middle Name:
Authorized Official - Last Name:POZNAK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:973-868-3534
Mailing Address - Street 1:2770 W 5TH ST APT 5D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4204
Mailing Address - Country:US
Mailing Address - Phone:973-868-3534
Mailing Address - Fax:
Practice Address - Street 1:2770 W 5TH ST APT 5D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4204
Practice Address - Country:US
Practice Address - Phone:973-868-3534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty