Halley Josephine Gildersleeve, MS | |
4760 Sepulveda Blvd, Culver City, CA 90230-4820 | |
(310) 390-6612 | |
(310) 398-5690 |
Full Name | Halley Josephine Gildersleeve |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 4760 Sepulveda Blvd, Culver City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265102495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LPCC15347 (California) | Secondary |
101YP2500X | Counselor - Professional | LPCC15347 (California) | Primary |
Entity Name | Didi Hirsch Psychiatric Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730299959 PECOS PAC ID: 3870537194 Enrollment ID: O20050616000752 |
Mailing Address | Practice Location Address |
---|---|
Halley Josephine Gildersleeve, MS 4760 Sepulveda Blvd, Culver City, CA 90230-4820 Ph: (310) 390-6612 | Halley Josephine Gildersleeve, MS 4760 Sepulveda Blvd, Culver City, CA 90230-4820 Ph: (310) 390-6612 |
Mr. Rodger Twitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6666 Green Valley Cir, Culver City, CA 90230 Phone: 310-846-5270 | |
Robert Michael Hirschhorn, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6124 Buckingham Pkwy Unit 304, Culver City, CA 90230 Phone: 323-290-8705 | |
Ladana Marie Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6666 Green Valley Cir, Culver City, CA 90230 Phone: 310-846-5270 Fax: 310-846-5278 | |
Lorena Escobar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 | |
Jose Ceja Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11133 Washington Blvd, Culver City, CA 90232 Phone: 310-895-2331 Fax: 310-895-2353 | |
Mrs. Cynthia Marie Antonio Siadat, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 Fax: 310-398-5690 | |
Prisilla Ena Barrientos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6666 Green Valley Cir, Culver City, CA 90230 Phone: 818-858-8544 |