Lisa Macias, | |
1514 Cherry Ave, San Jose, CA 95125-3803 | |
(408) 406-2939 | |
Not Available |
Full Name | Lisa Macias |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 1514 Cherry Ave, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407231434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Entity Name | Mindful Child & Family Therapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780156877 PECOS PAC ID: 8820449945 Enrollment ID: O20240112001347 |
Mailing Address | Practice Location Address |
---|---|
Lisa Macias, 1514 Cherry Ave, San Jose, CA 95125-3803 Ph: (408) 406-2939 | Lisa Macias, 1514 Cherry Ave, San Jose, CA 95125-3803 Ph: (408) 406-2939 |
Mr. Charles Alfonzo Castor-thomas Viii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2221 Enborg Ln, San Jose, CA 95128 Phone: 408-885-3227 Fax: 408-885-2063 | |
Mr. Douglas Martin Hames, RAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1281 Fleming Ave, San Jose, CA 95127 Phone: 408-259-6565 | |
Mei Wu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 742 Cedarville Ln, San Jose, CA 95133 Phone: 408-307-2553 | |
Miss Stephanie Pedro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Tully Rd, Suite 304, San Jose, CA 95122 Phone: 408-271-3900 Fax: 408-271-3909 | |
Meaghan Barisone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1555 Parkmoor Ave, San Jose, CA 95128 Phone: 408-282-0402 Fax: 408-282-0400 | |
Danelle L Gilmore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Race St, San Jose, CA 95126 Phone: 408-971-9822 Fax: 408-971-9820 | |
Ms. Efstathia Perivoliotis, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N Market St # 950, San Jose, CA 95113 Phone: 408-872-9402 |