Empatia Counseling Services A Licensed Clinical Social Worker Co | |
4401 Atlantic Ave Ste 200 Long Beach CA 90807-2264 | |
(213) 640-9256 | |
(562) 685-0459 |
Full Name | Empatia Counseling Services A Licensed Clinical Social Worker Co |
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Speciality | Social Worker |
Location | 4401 Atlantic Ave Ste 200, Long Beach, California |
Authorized Official Name and Position | Diana Siguenza Lizarde (CEO) |
Authorized Official Contact | 2136409256 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Empatia Counseling Services A Licensed Clinical Social Worker Co 4401 Atlantic Ave Ste 200 Long Beach CA 90807-2264 Ph: (213) 640-9256 | Empatia Counseling Services A Licensed Clinical Social Worker Co 4401 Atlantic Ave Ste 200 Long Beach CA 90807-2264 Ph: (213) 640-9256 |
NPI Number | 1306536743 |
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Provider Enumeration Date | 05/09/2023 |
Last Update Date | 03/06/2024 |
Certification Date | 03/06/2024 |
Medicare PECOS PAC ID | 8628422722 |
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Medicare Enrollment ID | O20230922002438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306536743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Diana Siguenza Lizarde |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811270002 PECOS PAC ID: 7113337064 Enrollment ID: I20201103002925 |
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