Mrs Elizabeth Anne Payne, | |
2804 Camino Dos Rios Ste 206, Thousand Oaks, CA 91320-1175 | |
(617) 379-0496 | |
Not Available |
Full Name | Mrs Elizabeth Anne Payne |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2804 Camino Dos Rios Ste 206, Thousand Oaks, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972091627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 012129 (New York) | Secondary |
101YP2500X | Counselor - Professional | 9243 (California) | Primary |
Entity Name | Thriveworks Clinical - California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801481395 PECOS PAC ID: 1759785645 Enrollment ID: O20220421000008 |
Mailing Address | Practice Location Address |
---|---|
Mrs Elizabeth Anne Payne, 3414 Rio Hato Ct, Camarillo, CA 93010-2365 Ph: (617) 379-0496 | Mrs Elizabeth Anne Payne, 2804 Camino Dos Rios Ste 206, Thousand Oaks, CA 91320-1175 Ph: (617) 379-0496 |
Denise Willis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Erten St, Thousand Oaks, CA 91360 Phone: 805-300-7084 | |
Genesis Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Erten St, Thousand Oaks, CA 91360 Phone: 805-870-4345 | |
Michael Lombardo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Marin St, Thousand Oaks, CA 91360 Phone: 805-413-0350 | |
Allyson Hiji, Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 Marin St Ste 135, Thousand Oaks, CA 91360 Phone: 805-379-4000 | |
Kim Braget, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Erten St, Thousand Oaks, CA 91360 Phone: 805-661-9492 | |
Kasey Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Erten St, Thousand Oaks, CA 91360 Phone: 805-661-9492 | |
Diana Grant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Marin St, Thousand Oaks, CA 91360 Phone: 240-437-2884 |