| Ms Acacia Hasina Chidi, LMFT | |
|
431 30th St Ste 210e, Oakland, CA 94609-3307 | |
| (510) 988-9878 | |
| Not Available |
| Full Name | Ms Acacia Hasina Chidi |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 431 30th St Ste 210e, Oakland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528465903 | NPI | - | NPPES |
| 00 | Other | CA | 00 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | LMFT111125 (California) | Primary |
| Entity Name | Ethereal Connectedness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275101511 PECOS PAC ID: 7315384179 Enrollment ID: O20240328001699 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Acacia Hasina Chidi, LMFT 2323 Broadway, Oakland, CA 94612-2414 Ph: (510) 988-9878 | Ms Acacia Hasina Chidi, LMFT 431 30th St Ste 210e, Oakland, CA 94609-3307 Ph: (510) 988-9878 |
Ms. Ha Le Cao, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 255 International Blvd, Oakland, CA 94606 Phone: 510-835-2777 | |
Antonia K Fokken, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 568 W Grand Ave, Oakland, CA 94612 Phone: 510-268-7332 Fax: 510-451-4703 | |
Mr. Timothy Clyde Dreby, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1211 Embarcadero, Suite 300, Oakland, CA 94606 Phone: 510-535-1409 Fax: 510-535-1414 | |
Mrs. Sara Louise Mckinnon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2540 Charleston St, Oakland, CA 94602 Phone: 510-220-2548 | |
Lauren Aiken, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6117 Martin Luther King Jr Way, Oakland, CA 94609 Phone: 510-655-4896 | |
Nicolette Nguyen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2501 Harrison St, Oakland, CA 94612 Phone: 510-444-3344 | |
Janessa Lynette Jimenez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 55 Santa Clara Ave Ste 200, Oakland, CA 94610 Phone: 707-408-2255 |