| Blooming Harmony Therapy | |
|
120 N Maclay Ave Unit D211 San Fernando CA 91340-2940 | |
| (903) 617-5098 | |
| (903) 617-5098 |
| Full Name | Blooming Harmony Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 120 N Maclay Ave Unit D211, San Fernando, California |
| Authorized Official Name and Position | Virginia Cecibel Orantes (OWNER) |
| Authorized Official Contact | 8188690282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Harmony Therapy 10606 Tamarack Ave Pacoima CA 91331-3045 Ph: (903) 617-5098 | Blooming Harmony Therapy 120 N Maclay Ave Unit D211 San Fernando CA 91340-2940 Ph: (903) 617-5098 |
| NPI Number | 1487473864 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Medicare PECOS PAC ID | 3577099910 |
|---|---|
| Medicare Enrollment ID | O20241210000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487473864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Virginia Orantes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518206598 PECOS PAC ID: 8628491115 Enrollment ID: I20200630001815 |
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