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Organization
HEART HEAL WITH HERLAY DIVINE LICENSED CLINICAL SOCIAL WORK INC
Active
Organization
HEART HEAL WITH HERLAY DIVINE LICENSED CLINICAL SOCIAL WORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERLAY DIVINE LCSW (COUNSELOR)
(909) 472-1272
Entity
Organization
Contact information
Practice address
323 N TURNER AVE UNIT 1012, GUASTI, CA 91743-1603
(909) 472-1272
Mailing address
4181 FLAT ROCK DR STE 300, RIVERSIDE, CA 92505-7106
(909) 472-1272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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