| Heart And Soul Collaborative | |
|
7000 Indiana Ave Ste 114 Riverside CA 92506-4155 | |
| (951) 255-1510 | |
| Not Available |
| Full Name | Heart And Soul Collaborative |
|---|---|
| Speciality | Psychologist |
| Location | 7000 Indiana Ave Ste 114, Riverside, California |
| Authorized Official Name and Position | Ryan Hooper (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9512551510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart And Soul Collaborative 19069 Van Buren Blvd Ste 114-431 Riverside CA 92508-9169 Ph: (951) 255-1510 | Heart And Soul Collaborative 7000 Indiana Ave Ste 114 Riverside CA 92506-4155 Ph: (951) 255-1510 |
| NPI Number | 1013624121 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013624121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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