| Soar & Live Inc | |
|
517 N Mountain Ave # 216 Upland CA 91786-5016 | |
| (909) 401-1759 | |
| (866) 927-8001 |
| Full Name | Soar & Live Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 517 N Mountain Ave # 216, Upland, California |
| Authorized Official Name and Position | Cherisse Hunter-southern (VICE PRESIDENT) |
| Authorized Official Contact | 9094011759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soar & Live Inc 517 N Mountain Ave # 216 Upland CA 91786-5016 Ph: (909) 401-1759 | Soar & Live Inc 517 N Mountain Ave # 216 Upland CA 91786-5016 Ph: (909) 401-1759 |
| NPI Number | 1467100883 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467100883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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