| The Heart Studio Llc | |
|
291 Oak St Ashland OR 97520-1805 | |
| (530) 228-5212 | |
| Not Available |
| Full Name | The Heart Studio Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 291 Oak St, Ashland, Oregon |
| Authorized Official Name and Position | Deborah Lynne Devine (PRINCIPAL/MANAGER) |
| Authorized Official Contact | 5302285212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Heart Studio Llc Po Box 4752 Medford OR 97501-0197 Ph: (541) 500-8655 | The Heart Studio Llc 291 Oak St Ashland OR 97520-1805 Ph: (530) 228-5212 |
| NPI Number | 1518446665 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 10/20/2020 |
| Certification Date | 10/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518446665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | T-1108 (Oregon) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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