| The Heart Space | |
|
1100 W Center Ave Visalia CA 93291-5913 | |
| (559) 667-7622 | |
| Not Available |
| Full Name | The Heart Space |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1100 W Center Ave, Visalia, California |
| Authorized Official Name and Position | Laura Michelle Noelle (CEO, CLINICAL DIRECTOR) |
| Authorized Official Contact | 5596677622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Heart Space 1100 W Center Ave Visalia CA 93291-5913 Ph: (559) 667-7622 | The Heart Space 1100 W Center Ave Visalia CA 93291-5913 Ph: (559) 667-7622 |
| NPI Number | 1780424259 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780424259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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