| Amy Blackholly Consulting | |
|
25892 Vicar Way Lake Forest CA 92630-5926 | |
| (949) 350-9557 | |
| Not Available |
| Full Name | Amy Blackholly Consulting |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25892 Vicar Way, Lake Forest, California |
| Authorized Official Name and Position | Amy Rebecca Blackholly (BEHAVIOR ANALYST) |
| Authorized Official Contact | 9493509557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Blackholly Consulting 25892 Vicar Way Lake Forest CA 92630-5926 Ph: (949) 350-9557 | Amy Blackholly Consulting 25892 Vicar Way Lake Forest CA 92630-5926 Ph: (949) 350-9557 |
| NPI Number | 1649678269 |
|---|---|
| Provider Enumeration Date | 12/13/2014 |
| Last Update Date | 12/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649678269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Kuleana Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23832 Rockfield Blvd, Suite 150, Lake Forest, CA 92630 Phone: 949-689-8272 | |
Socal Adolescent Wellness, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630 Phone: 949-467-4324 | |
Rr&c. A Psychological Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22996 El Toro Rd Ste 103, Lake Forest, CA 92630 Phone: 949-942-1991 Fax: 949-942-1969 | |
David M. Lechuga, Ph.d., A.p.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13 Orchard, Suite 103, Lake Forest, CA 92630 Phone: 949-837-3358 Fax: 949-837-0274 | |
12 South Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23712 Birtcher Drive, Lake Forest, CA 92630 Phone: 888-830-8374 Fax: 949-215-6650 | |
Triumph Healthcare Oc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23201 Orange Ave, Lake Forest, CA 92630 Phone: 949-446-9906 | |
Zoe Behavioral Health Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23591 El Toro Rd Ste 265, Lake Forest, CA 92630 Phone: 949-309-2227 |