Miss Tiffany Michelle Winston, | |
704 W 8th St, San Pedro, CA 90731-3017 | |
(310) 832-7545 | |
Not Available |
Full Name | Miss Tiffany Michelle Winston |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 704 W 8th St, San Pedro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023216926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | D1396406 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Miss Tiffany Michelle Winston, 3331 N Crest Dr, Long Beach, CA 90807-4462 Ph: (909) 802-9080 | Miss Tiffany Michelle Winston, 704 W 8th St, San Pedro, CA 90731-3017 Ph: (310) 832-7545 |
Ante Babich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 599 W 9th St, San Pedro, CA 90731 Phone: 310-831-0006 | |
Ruby L Campos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 W 9th St, San Pedro, CA 90731 Phone: 310-521-9209 | |
Kimberly Womack, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 677 W 15th St, San Pedro, CA 90731 Phone: 716-998-3170 | |
Aaron Roger Crandell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 S Beacon St, San Pedro, CA 90731 Phone: 310-868-9583 | |
Allison Arkfeld, B.S., M.F.T. TRAINEE Counselor Medicare: Not Enrolled in Medicare Practice Location: 599 W 9th St, San Pedro, CA 90731 Phone: 424-772-6295 Fax: 310-831-0004 | |
Tana Isabel Crain, REGISTERED STUDENT Counselor Medicare: Not Enrolled in Medicare Practice Location: 599 W 9th St, San Pedro, CA 90731 Phone: 310-831-0331 |