| Heart And Soul Counseling | |
|
7005 N Lake Blvd # 166 Tahoe Vista CA 96148-9800 | |
| (619) 540-4111 | |
| Not Available |
| Full Name | Heart And Soul Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7005 N Lake Blvd # 166, Tahoe Vista, California |
| Authorized Official Name and Position | Keina Linebarger (OWNER) |
| Authorized Official Contact | 6195404111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart And Soul Counseling Po Box 166 Tahoe Vista CA 96148-0166 Ph: (619) 540-4111 | Heart And Soul Counseling 7005 N Lake Blvd # 166 Tahoe Vista CA 96148-9800 Ph: (619) 540-4111 |
| NPI Number | 1679284335 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 12/13/2022 |
| Certification Date | 12/13/2022 |
| Medicare PECOS PAC ID | 3870027717 |
|---|---|
| Medicare Enrollment ID | O20241114001266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679284335 | NPI | - | NPPES |
| 1528208907 | Other | CA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Keina Linebarger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528208907 PECOS PAC ID: 5597299438 Enrollment ID: I20241114001425 |
Silver Lining Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 Kings Way, Tahoe Vista, CA 96148 Phone: 310-428-3399 |