| Dynamic Hearts Therapy | |
|
572 Rio Lindo Ave Ste 203 Chico CA 95926-1851 | |
| (520) 815-4328 | |
| (530) 636-4772 |
| Full Name | Dynamic Hearts Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 572 Rio Lindo Ave Ste 203, Chico, California |
| Authorized Official Name and Position | Ta'shanne Horn (OWNER/PROVIDER) |
| Authorized Official Contact | 5308154328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Hearts Therapy Po Box 8959 Chico CA 95927-8959 Ph: (530) 815-4328 | Dynamic Hearts Therapy 572 Rio Lindo Ave Ste 203 Chico CA 95926-1851 Ph: (520) 815-4328 |
| NPI Number | 1952083479 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Medicare PECOS PAC ID | 0941658975 |
|---|---|
| Medicare Enrollment ID | O20231130002632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952083479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ta'shanne Watu Horn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568620342 PECOS PAC ID: 9436485109 Enrollment ID: I20190802000044 |
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