| Center For Enriching Relationships, Inc | |
|
4025 Camino Del Rio S Ste 250 San Diego CA 92108-4100 | |
| (619) 858-3105 | |
| (619) 280-5420 |
| Full Name | Center For Enriching Relationships, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4025 Camino Del Rio S Ste 250, San Diego, California |
| Authorized Official Name and Position | Donald Welch (DIRECTOR) |
| Authorized Official Contact | 6198583105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Enriching Relationships, Inc 4025 Camino Del Rio S Ste 250 San Diego CA 92108-4100 Ph: (619) 858-3105 | Center For Enriching Relationships, Inc 4025 Camino Del Rio S Ste 250 San Diego CA 92108-4100 Ph: (619) 858-3105 |
| NPI Number | 1457591364 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 11/02/2020 |
| Certification Date | 11/02/2020 |
| Medicare PECOS PAC ID | 0143506667 |
|---|---|
| Medicare Enrollment ID | O20170418002354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457591364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | #LMFT50129 (California) | Primary |
| Provider Name | Daniel L Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992849491 PECOS PAC ID: 5890784219 Enrollment ID: I20040511000486 |
| Provider Name | Barbara Cummings Burt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407109861 PECOS PAC ID: 3870860489 Enrollment ID: I20170602001601 |
| Provider Name | Roger G Hodge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306096714 PECOS PAC ID: 0244585594 Enrollment ID: I20180611000834 |
| Provider Name | Benjamin Philip Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760672679 PECOS PAC ID: 7719239946 Enrollment ID: I20181016002061 |
| Provider Name | Christy Stinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992420665 PECOS PAC ID: 0143670547 Enrollment ID: I20231227003108 |
| Provider Name | Aurora Patricia Hernandez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447611470 PECOS PAC ID: 5698126696 Enrollment ID: I20240103003729 |
| Provider Name | Wendy Weatherstone Kaiser |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962722470 PECOS PAC ID: 2062865637 Enrollment ID: I20240130003710 |
| Provider Name | Ashley Ewing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376157818 PECOS PAC ID: 6406298306 Enrollment ID: I20240523001784 |
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