Healthcare Provider Details

I. General information

NPI: 1477359289
Provider Name (Legal Business Name): TENDER HEART HEALING ARTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2903 SACRAMENTO ST
BERKELEY CA
94702-2509
US

IV. Provider business mailing address

1528 WOOLSEY ST APT A
BERKELEY CA
94703-2353
US

V. Phone/Fax

Practice location:
  • Phone: 415-715-9583
  • Fax:
Mailing address:
  • Phone: 415-715-9583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE MARIE HERRERA
Title or Position: PRESIDENT
Credential: LMFT
Phone: 415-715-9583