| Adolescent Mental Health Llc | |
|
23172 Plaza Pointe Dr Ste 155 Laguna Hills CA 92653-0101 | |
| (949) 239-9567 | |
| Not Available |
| Full Name | Adolescent Mental Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23172 Plaza Pointe Dr Ste 155, Laguna Hills, California |
| Authorized Official Name and Position | Sophie Gomes (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9492399567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent Mental Health Llc 3400 Irvine Ave Ste 211 Newport Beach CA 92660-3103 Ph: (949) 836-6793 | Adolescent Mental Health Llc 23172 Plaza Pointe Dr Ste 155 Laguna Hills CA 92653-0101 Ph: (949) 239-9567 |
| NPI Number | 1669241576 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669241576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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