B&r Counseling Services Benjamin Reisin Gen Ptr | |
266 W Playa Del Carmen Imperial CA 92251-8858 | |
(760) 960-5250 | |
Not Available |
Full Name | B&r Counseling Services Benjamin Reisin Gen Ptr |
---|---|
Speciality | Marriage & Family Therapist |
Location | 266 W Playa Del Carmen, Imperial, California |
Authorized Official Name and Position | Benjamin Reisin (MARRIAGE & FAMILY THERAPIST) |
Authorized Official Contact | 7609605205 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
B&r Counseling Services Benjamin Reisin Gen Ptr 266 W Playa Del Carmen Imperial CA 92251-8858 Ph: (760) 960-5250 | B&r Counseling Services Benjamin Reisin Gen Ptr 266 W Playa Del Carmen Imperial CA 92251-8858 Ph: (760) 960-5250 |
NPI Number | 1689331027 |
---|---|
Provider Enumeration Date | 11/19/2021 |
Last Update Date | 01/30/2024 |
Certification Date | 01/30/2024 |
Medicare PECOS PAC ID | 4082067780 |
---|---|
Medicare Enrollment ID | O20240130000841 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689331027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Benjamin Reisin |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1891952180 PECOS PAC ID: 3577924406 Enrollment ID: I20240131001429 |
Sun Valley Behavioral Medical Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2417 Marshall Ave, Ste 1, Imperial, CA 92251 Phone: 760-355-0161 Fax: 760-355-2596 |