Kavanaugh Therapy, Inc. | |
2401 Pacific Coast Hwy Ste 106 Hermosa Beach CA 90254-2734 | |
(424) 247-6010 | |
Not Available |
Full Name | Kavanaugh Therapy, Inc. |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 2401 Pacific Coast Hwy Ste 106, Hermosa Beach, California |
Authorized Official Name and Position | Anya Kavanaugh (OWNER) |
Authorized Official Contact | 4242476010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kavanaugh Therapy, Inc. 2401 Pacific Coast Hwy Ste 106 Hermosa Beach CA 90254-2734 Ph: (424) 247-6010 | Kavanaugh Therapy, Inc. 2401 Pacific Coast Hwy Ste 106 Hermosa Beach CA 90254-2734 Ph: (424) 247-6010 |
NPI Number | 1174244263 |
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Provider Enumeration Date | 09/07/2022 |
Last Update Date | 02/06/2024 |
Certification Date | 02/06/2024 |
Identifier | Type | State | Issuer |
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1174244263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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