Ms Vivian A Singleton, LMFT | |
17000 S Harlan Rd, Lathrop, CA 95330-8738 | |
(209) 647-7551 | |
(209) 647-7580 |
Full Name | Ms Vivian A Singleton |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 17000 S Harlan Rd, Lathrop, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013454131 | NPI | - | NPPES |
132515 | Medicaid | CA | |
1013454131 | Medicaid | CA | |
1013454131 | Other | CA | ALL OTHER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 132515 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
---|---|
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 |
---|---|
Ms Vivian A Singleton, LMFT 367 American Farms Ave, Lathrop, CA 95330-8652 Ph: (510) 472-3856 | Ms Vivian A Singleton, LMFT 17000 S Harlan Rd, Lathrop, CA 95330-8738 Ph: (209) 647-7551 |
Mrs. Elysa M Correia, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17000 S Harlan Rd, Lathrop, CA 95330 Phone: 209-647-7600 | |
Mr. John Amos Burt, Couples Therapy Medicare: Medicare Enrolled Practice Location: 17000 S Harlan Rd, Lathrop, CA 95330 Phone: 209-647-7609 | |
Ms. Julie Ann Williams, Couples Therapy Medicare: Medicare Enrolled Practice Location: 17000 S Harlan Rd, Lathrop, CA 95330 Phone: 209-647-7607 | |
Mrs. Amber Wilson, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 17000 S Harlan Rd, Lathrop, CA 95330 Phone: 209-647-7586 |