| Kindred Heart Therapy Group Nonprofit | |
|
202 Providence Mine Rd Ste 105 Nevada City CA 95959-2945 | |
| (530) 277-2046 | |
| (916) 969-8373 |
| Full Name | Kindred Heart Therapy Group Nonprofit |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 202 Providence Mine Rd Ste 105, Nevada City, California |
| Authorized Official Name and Position | Lovie Bucknell (CEO) |
| Authorized Official Contact | 5302772046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindred Heart Therapy Group Nonprofit Po Box 2336 Nevada City CA 95959-1946 Ph: (530) 277-2046 | Kindred Heart Therapy Group Nonprofit 202 Providence Mine Rd Ste 105 Nevada City CA 95959-2945 Ph: (530) 277-2046 |
| NPI Number | 1720689565 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Medicare PECOS PAC ID | 7315477544 |
|---|---|
| Medicare Enrollment ID | O20250204000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720689565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Panthea Razavi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891320131 PECOS PAC ID: 4183154255 Enrollment ID: I20250205002606 |
Common Goals Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Zion Street Plaza, Nevada City, CA 95959 Phone: 530-265-2914 Fax: 530-265-2974 | |
Charles P. Sternberg, Md., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Coyote St, Nevada City, CA 95959 Phone: 530-265-8264 Fax: 530-265-8264 | |
Movimiento Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 547 Uren St, Nevada City, CA 95959 Phone: 510-388-4106 | |
Touched By A Child Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13810 Climbing Way, Nevada City, CA 95959 Phone: 530-273-1112 Fax: 530-273-1112 | |
Carey Laine Psychologist,inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11327 Willow Valley Rd Ste A, Nevada City, CA 95959 Phone: 530-277-0976 Fax: 530-470-6021 | |
Marcia Jella' Rennie, Phd, A Psychological Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 825 Zion St, Nevada City, CA 95959 Phone: 530-265-2199 Fax: 530-265-2619 | |
A New Hope Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Nevada St Ste A, Nevada City, CA 95959 Phone: 530-798-1076 Fax: 530-478-9589 |