Mr Micheal Frances Smith, CA LMFT (MA) | |
2021 Sperry Avenue, Suite 22, Ventura, CA 93003 | |
(805) 888-9254 | |
(805) 669-3525 |
Full Name | Mr Micheal Frances Smith |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 2021 Sperry Avenue, Ventura, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346513363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | IMF 58558 (California) | Secondary |
106H00000X | Marriage & Family Therapist | LMFT51393 (California) | Primary |
Entity Name | Revolution Psychotherapy, A Family And Marriage Therapy Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811540909 PECOS PAC ID: 3678916038 Enrollment ID: O20240213002209 |
Mailing Address | Practice Location Address |
---|---|
Mr Micheal Frances Smith, CA LMFT (MA) 901 Mercer Avenue, Ojai, CA 93023 Ph: (805) 888-9254 | Mr Micheal Frances Smith, CA LMFT (MA) 2021 Sperry Avenue, Suite 22, Ventura, CA 93003 Ph: (805) 888-9254 |
Bijan Babaeian, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 260 Maple Court, Ventura, CA 93003 Phone: 818-540-5434 | |
Tara Burnley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3160 Telegraph Rd, Suite 200, Ventura, CA 93003 Phone: 805-570-3741 | |
Andrea Jean Haffner, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 143 Figueroa St Ste 12, Ventura, CA 93001 Phone: 805-214-4858 | |
Mr. Geoffrey Alexander Schneider, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 701 E. Santa Clara Street, Suite 14-c, Ventura, CA 93001 Phone: 805-320-9320 Fax: 805-643-0468 | |
Berthena Gail Parrish, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 670 E Thompson Blvd, Suite D, Ventura, CA 93001 Phone: 805-643-0764 | |
Mrs. Nicole Cassandra Hiltibran, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 260 Maple Ct Ste 113, Ventura, CA 93003 Phone: 805-341-3731 Fax: 805-644-2707 | |
Kyra F Riddell, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 790 East Santa Clara St, Suite 105a, Ventura, CA 93001 Phone: 805-669-8115 Fax: 805-669-3661 |