Bannupriya Ramachandran, | |
204 Hampton Dr, Venice, CA 90291-2623 | |
(310) 396-6468 | |
Not Available |
Full Name | Bannupriya Ramachandran |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 204 Hampton Dr, Venice, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013324383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 63021 (California) | Primary |
Entity Name | Counseling Center Of Marriage And Family Therapy Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205339215 PECOS PAC ID: 1456704675 Enrollment ID: O20240124001739 |
Mailing Address | Practice Location Address |
---|---|
Bannupriya Ramachandran, 204 Hampton Dr, Venice, CA 90291-2623 Ph: (310) 396-6468 | Bannupriya Ramachandran, 204 Hampton Dr, Venice, CA 90291-2623 Ph: (310) 396-6468 |
Jorge Guerreiro Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Patricia Guadalupe Rivas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 Lincoln Blvd., Venice, CA 90291 Phone: 310-399-9883 Fax: 310-399-9678 | |
Mr. Henry R. Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Ocean Front Walk, Venice, CA 90291 Phone: 310-392-3070 | |
Destiny Starlena Howell, MSW, MPH Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Adriana Eversole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 650-438-9060 | |
Kelly Elizabeth Preston, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 323-864-3726 |