| Caring Hearts Therapeutic Services Llc | |
|
15204 Carter Loop Se Yelm WA 98597-8573 | |
| (805) 504-5782 | |
| Not Available |
| Full Name | Caring Hearts Therapeutic Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 15204 Carter Loop Se, Yelm, Washington |
| Authorized Official Name and Position | Jack Konrat (CEO) |
| Authorized Official Contact | 8055045782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Hearts Therapeutic Services Llc 15204 Carter Loop Se Yelm WA 98597-8573 Ph: (805) 504-5782 | Caring Hearts Therapeutic Services Llc 15204 Carter Loop Se Yelm WA 98597-8573 Ph: (805) 504-5782 |
| NPI Number | 1053851196 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 03/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053851196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 11314334 (* (Not Available)) | Primary |
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