| I Heart Soul | |
|
240 Underhill Ave Apt 6 Yorktown Heights NY 10598 | |
| (914) 648-2505 | |
| Not Available |
| Full Name | I Heart Soul |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 240 Underhill Ave Apt 6, Yorktown Heights, New York |
| Authorized Official Name and Position | Tamica Nelson (SOLE PROPRIETOR) |
| Authorized Official Contact | 9146482505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Heart Soul 240 Underhill Ave Apt 6 Yorktown Heights NY 10598-4525 Ph: (914) 648-2505 | I Heart Soul 240 Underhill Ave Apt 6 Yorktown Heights NY 10598 Ph: (914) 648-2505 |
| NPI Number | 1184170771 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184170771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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