| Integrated Healing Center | |
|
30101 Agoura Ct Ste 111 Agoura Hills CA 91301-4301 | |
| (818) 658-2137 | |
| Not Available |
| Full Name | Integrated Healing Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 30101 Agoura Ct Ste 111, Agoura Hills, California |
| Authorized Official Name and Position | Danielle Ciccone (CEO) |
| Authorized Official Contact | 8186582137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Healing Center 30101 Agoura Ct Ste 111 Agoura Hills CA 91301-4301 Ph: (818) 658-2137 | Integrated Healing Center 30101 Agoura Ct Ste 111 Agoura Hills CA 91301-4301 Ph: (818) 658-2137 |
| NPI Number | 1215602826 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 05/12/2024 |
| Certification Date | 05/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215602826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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