| Conscious Puzzles | |
|
609 Deep Valley Dr # 200-057 Rolling Hills Estates CA 90274-3629 | |
| (424) 279-3898 | |
| Not Available |
| Full Name | Conscious Puzzles |
|---|---|
| Speciality | Clinic/Center |
| Location | 609 Deep Valley Dr # 200-057, Rolling Hills Estates, California |
| Authorized Official Name and Position | Princess Okieme (PRESIDENT) |
| Authorized Official Contact | 4242793898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conscious Puzzles 3350 E 7th St # 338 Long Beach CA 90804-5003 Ph: (424) 279-3898 | Conscious Puzzles 609 Deep Valley Dr # 200-057 Rolling Hills Estates CA 90274-3629 Ph: (424) 279-3898 |
| NPI Number | 1548969751 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 7113371626 |
|---|---|
| Medicare Enrollment ID | O20231002001468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548969751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Princess O Okieme |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639643323 PECOS PAC ID: 7911372768 Enrollment ID: I20230407001461 |
| Provider Name | Caitlin Hollis Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144453358 PECOS PAC ID: 5698122752 Enrollment ID: I20231110000720 |
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