Provider Demographics
NPI:1659765477
Name:CARING HEARTS PLAY THERAPY
Entity Type:Organization
Organization Name:CARING HEARTS PLAY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, RPT-S
Authorized Official - Phone:949-872-7454
Mailing Address - Street 1:3400 IRVINE AVE
Mailing Address - Street 2:SUITE 217
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-3116
Mailing Address - Country:US
Mailing Address - Phone:949-682-9275
Mailing Address - Fax:
Practice Address - Street 1:3400 IRVINE AVE
Practice Address - Street 2:SUITE 217
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-3116
Practice Address - Country:US
Practice Address - Phone:949-682-9275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 250251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty