| Golden Heart Therapy | |
|
4555 Lake Shore Dr Ste B Waco TX 76710-1814 | |
| (254) 836-2195 | |
| Not Available |
| Full Name | Golden Heart Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4555 Lake Shore Dr Ste B, Waco, Texas |
| Authorized Official Name and Position | Anastasia Jewel Moye (OWNER) |
| Authorized Official Contact | 2547162195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Heart Therapy 4555 Lake Shore Dr Ste B Waco TX 76710-1814 Ph: (254) 836-2195 | Golden Heart Therapy 4555 Lake Shore Dr Ste B Waco TX 76710-1814 Ph: (254) 836-2195 |
| NPI Number | 1639728710 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 09/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639728710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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