| Heart Heal With Herlay Divine Licensed Clinical Social Work Inc | |
|
323 N Turner Ave Unit 1012 Guasti CA 91743-1603 | |
| (909) 472-1272 | |
| Not Available |
| Full Name | Heart Heal With Herlay Divine Licensed Clinical Social Work Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 323 N Turner Ave Unit 1012, Guasti, California |
| Authorized Official Name and Position | Herlay Divine (COUNSELOR) |
| Authorized Official Contact | 9094721272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Heal With Herlay Divine Licensed Clinical Social Work Inc 4181 Flat Rock Dr Ste 300 Riverside CA 92505-7106 Ph: (909) 472-1272 | Heart Heal With Herlay Divine Licensed Clinical Social Work Inc 323 N Turner Ave Unit 1012 Guasti CA 91743-1603 Ph: (909) 472-1272 |
| NPI Number | 1295607620 |
|---|---|
| Provider Enumeration Date | 09/23/2025 |
| Last Update Date | 09/23/2025 |
| Certification Date | 09/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295607620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |