| Authentically You Family Therapy, Inc | |
|
38417 5th Street W Unit D65 Palmdale CA 93551 | |
| (661) 209-3614 | |
| Not Available |
| Full Name | Authentically You Family Therapy, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 38417 5th Street W Unit D65, Palmdale, California |
| Authorized Official Name and Position | Krista Hawkins (LMFT) |
| Authorized Official Contact | 3104289135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentically You Family Therapy, Inc 1009 E Capitol Expy # 505 San Jose CA 95121-2415 Ph: () - | Authentically You Family Therapy, Inc 38417 5th Street W Unit D65 Palmdale CA 93551 Ph: (661) 209-3614 |
| NPI Number | 1891480877 |
|---|---|
| Provider Enumeration Date | 04/06/2023 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/01/2024 |
| Medicare PECOS PAC ID | 3274974381 |
|---|---|
| Medicare Enrollment ID | O20240507002411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891480877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Krista Hawkins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902114259 PECOS PAC ID: 7810308533 Enrollment ID: I20240508001509 |
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