CAROLINE DARAVI


Address: 1706 Plum Lane #110, Redland, CA 92374
Phone: 9095532573

CAROLINE DARAVI (NPI# 1053855783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053855783
Entity Type Organization
Organization Name CAROLINE DARAVI
Other Organization Name (DBA) HERA COUNSELING
Practice Address 1706 Plum Lane #110
Redland
CA 92374
Mailing Address 1706 Plum Lane #110
Redlands
CA 92374
Practice Telephone 9095532573
Practice Fax Number 9096774883
Mailing Telephone 9095532573
Mailing Fax Number 9096774883
Enumeration Date 2016-12-14
Last Update Date 2019-11-13
Authorized Official Name DR. CAROLINE DARAVI (OWNER/PSYCHOLOGIST)
Authorized Official Telephone 9095532573
Authorized Official Credential PSY.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist Behavioral Health & Social Service Providers
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
(DBA) Hera Counseling Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
18 E State St # 203-2, Redlands, CA 923734730 9095532573

Office Location

Street Address 1706 PLUM LANE #110
City REDLAND
State CA
Zip Code 92374

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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

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Competitor

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City REDLAND
Zip Code 92374

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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