| Compassion For The Mind | |
|
211 S State College Blvd # 1057 Anaheim CA 92806-4116 | |
| (661) 874-7851 | |
| Not Available |
| Full Name | Compassion For The Mind |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 211 S State College Blvd # 1057, Anaheim, California |
| Authorized Official Name and Position | Nicole Segroves (PRACTICE MANAGER) |
| Authorized Official Contact | 6618747851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassion For The Mind 211 S State College Blvd # 1057 Anaheim CA 92806-4116 Ph: (661) 463-0493 | Compassion For The Mind 211 S State College Blvd # 1057 Anaheim CA 92806-4116 Ph: (661) 874-7851 |
| NPI Number | 1871283101 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 0042655904 |
|---|---|
| Medicare Enrollment ID | O20240301000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871283101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Roy Mena |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770812513 PECOS PAC ID: 1951746817 Enrollment ID: I20240301000278 |
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