| Rekindle Your Soul, Pllc | |
|
315 Bartow Dr Sierra Vista AZ 85635-1805 | |
| (520) 249-0352 | |
| (855) 568-6439 |
| Full Name | Rekindle Your Soul, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 315 Bartow Dr, Sierra Vista, Arizona |
| Authorized Official Name and Position | Joseph Graca (OWNER) |
| Authorized Official Contact | 5202490352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rekindle Your Soul, Pllc Po Box 1667 Bisbee AZ 85603-2667 Ph: () - | Rekindle Your Soul, Pllc 315 Bartow Dr Sierra Vista AZ 85635-1805 Ph: (520) 249-0352 |
| NPI Number | 1578973137 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578973137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Arizona) | Primary |
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