| Collective Therapy Group | |
|
22792 Centre Dr Ste 104 Lake Forest CA 92630-6311 | |
| (714) 326-3722 | |
| Not Available |
| Full Name | Collective Therapy Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 22792 Centre Dr Ste 104, Lake Forest, California |
| Authorized Official Name and Position | Chandra Medina (OWNER) |
| Authorized Official Contact | 7143263722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collective Therapy Group 22792 Centre Dr Ste 104 Lake Forest CA 92630-6311 Ph: (714) 326-3722 | Collective Therapy Group 22792 Centre Dr Ste 104 Lake Forest CA 92630-6311 Ph: (714) 326-3722 |
| NPI Number | 1912687708 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912687708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
Kuleana Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23832 Rockfield Blvd, Suite 150, Lake Forest, CA 92630 Phone: 949-689-8272 | |
Socal Adolescent Wellness, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630 Phone: 949-467-4324 | |
Rr&c. A Psychological Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22996 El Toro Rd Ste 103, Lake Forest, CA 92630 Phone: 949-942-1991 Fax: 949-942-1969 | |
David M. Lechuga, Ph.d., A.p.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13 Orchard, Suite 103, Lake Forest, CA 92630 Phone: 949-837-3358 Fax: 949-837-0274 | |
12 South Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23712 Birtcher Drive, Lake Forest, CA 92630 Phone: 888-830-8374 Fax: 949-215-6650 | |
Triumph Healthcare Oc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23201 Orange Ave, Lake Forest, CA 92630 Phone: 949-446-9906 | |
Zoe Behavioral Health Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23591 El Toro Rd Ste 265, Lake Forest, CA 92630 Phone: 949-309-2227 |