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Organization
SIMPLICITY OF HEART COUNSELING SERVICE LLC
Active
Organization
SIMPLICITY OF HEART COUNSELING SERVICE LLC
Active
Parent organization
SIMPLICITY OF HEART COUNSELING SERVICE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIMPLICITY OF HEART COUNSELING SERVICE LLC
Authorized official
MANUEL C REYES MFT PHD (CEO)
(209) 357-3220
Entity
Organization
Contact information
Practice address
1201 CEDAR AVENUE, ATWATER, CA 95301
(209) 357-3220
(209) 357-3220
Mailing address
1201 CEDAR AVENUE, ATWATER, CA 95301
(209) 357-3220
(209) 357-3220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R0979347
CA
207Q00000X
Family Medicine Physician
R0979347
CA
2084P0804X
Child & Adolescent Psychiatry Physician
R0979347
CA
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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