| Brenda Cervantes Therapy Services, Inc. | |
|
24359 Walnut St. Unit A Newhall CA 91321 | |
| (661) 347-2507 | |
| Not Available |
| Full Name | Brenda Cervantes Therapy Services, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 24359 Walnut St. Unit A, Newhall, California |
| Authorized Official Name and Position | Brenda C Cervantes (CEO) |
| Authorized Official Contact | 2817233116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Cervantes Therapy Services, Inc. 24359 Walnut St. Unit A Newhall CA 91321 Ph: (281) 723-3116 | Brenda Cervantes Therapy Services, Inc. 24359 Walnut St. Unit A Newhall CA 91321 Ph: (661) 347-2507 |
| NPI Number | 1649892159 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Medicare PECOS PAC ID | 7618390071 |
|---|---|
| Medicare Enrollment ID | O20240725004579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649892159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brenda Cristina Cervantes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689992695 PECOS PAC ID: 5496987463 Enrollment ID: I20240725004637 |
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