| E5 Therapy | |
|
333 Sunset Ave Ste 200 Suisun City CA 94585-2003 | |
| (707) 225-7899 | |
| (707) 759-3810 |
| Full Name | E5 Therapy |
|---|---|
| Speciality | Counselor |
| Location | 333 Sunset Ave Ste 200, Suisun City, California |
| Authorized Official Name and Position | Matthew Eilers Decker (FOUNDER) |
| Authorized Official Contact | 6023633156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E5 Therapy 333 Sunset Ave Ste 200 Suisun City CA 94585-2003 Ph: (707) 225-7899 | E5 Therapy 333 Sunset Ave Ste 200 Suisun City CA 94585-2003 Ph: (707) 225-7899 |
| NPI Number | 1609405174 |
|---|---|
| Provider Enumeration Date | 04/06/2020 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Medicare PECOS PAC ID | 8527478627 |
|---|---|
| Medicare Enrollment ID | O20201030001405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609405174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Matthew Eilers Decker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386965069 PECOS PAC ID: 8820418478 Enrollment ID: I20201020001497 |
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