| Benessere Marriage And Family Therapy, Inc | |
|
1158 Cirby Way Ste B Roseville CA 95661-4478 | |
| (916) 502-3721 | |
| Not Available |
| Full Name | Benessere Marriage And Family Therapy, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1158 Cirby Way Ste B, Roseville, California |
| Authorized Official Name and Position | Edlord Posadas (OWNER) |
| Authorized Official Contact | 9168656756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benessere Marriage And Family Therapy, Inc 8035 Ackerson Way Antelope CA 95843-5339 Ph: () - | Benessere Marriage And Family Therapy, Inc 1158 Cirby Way Ste B Roseville CA 95661-4478 Ph: (916) 502-3721 |
| NPI Number | 1780440248 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 8426499195 |
|---|---|
| Medicare Enrollment ID | O20240513000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780440248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Edlord Lalic Posadas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528595485 PECOS PAC ID: 2769834241 Enrollment ID: I20240513000770 |
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