| Black Granola | |
|
1955 Menalto Ave Menlo Park CA 94025-2834 | |
| (650) 422-0340 | |
| Not Available |
| Full Name | Black Granola |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1955 Menalto Ave, Menlo Park, California |
| Authorized Official Name and Position | Nehezi Roberts (FOUNDER) |
| Authorized Official Contact | 6504220340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Granola 896 Green St East Palo Alto CA 94303-1947 Ph: () - | Black Granola 1955 Menalto Ave Menlo Park CA 94025-2834 Ph: (650) 422-0340 |
| NPI Number | 1487383188 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487383188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Brightline Medical Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Middlefield Rd, Menlo Park, CA 94025 Phone: 650-646-5697 | |
Department Of Veteran Affairs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd, (180d), Menlo Park, CA 94025 Phone: 650-493-5000 Fax: 650-617-6709 | |
Pomeranz Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Oak Grove Ave Ste C503, Menlo Park, CA 94025 Phone: 310-405-1540 | |
Bay Area Clinical Associates, P.c. Menlo Park Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1162 El Camino Real, Menlo Park, CA 94025 Phone: 650-304-3906 Fax: 650-304-3907 | |
Pacific Anxiety Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 845 El Camino Real, Menlo Park, CA 94025 Phone: 650-762-8352 | |
Couples Institute Counseling Services A Marriage And Family Therapy Co Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3705 Haven Ave # 119, Menlo Park, CA 94025 Phone: 650-289-8603 | |
Baart Programs San Mateo Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 Willow Rd, Bldg. 332, Menlo Park, CA 94025 Phone: 650-578-7190 Fax: 650-324-4149 |