| Empower Tct Llc | |
|
330 James Way Ste 180 Pismo Beach CA 93449-2891 | |
| (805) 266-3231 | |
| Not Available |
| Full Name | Empower Tct Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 James Way Ste 180, Pismo Beach, California |
| Authorized Official Name and Position | Larisa A Traga (CEO) |
| Authorized Official Contact | 8052663231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Tct Llc 1741 Winchester Way Santa Maria CA 93454-2665 Ph: (805) 266-3231 | Empower Tct Llc 330 James Way Ste 180 Pismo Beach CA 93449-2891 Ph: (805) 266-3231 |
| NPI Number | 1720745011 |
|---|---|
| Provider Enumeration Date | 11/21/2021 |
| Last Update Date | 11/21/2021 |
| Certification Date | 11/21/2021 |
| Medicare PECOS PAC ID | 9931596566 |
|---|---|
| Medicare Enrollment ID | O20220428000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720745011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Larisa A Traga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619115060 PECOS PAC ID: 8921422338 Enrollment ID: I20200717002367 |
| Provider Name | Tamara J Chaffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386772408 PECOS PAC ID: 6305230913 Enrollment ID: I20220224002105 |
Central California Movement Disorders Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 320 James Way Ste 210, Pismo Beach, CA 93449 Phone: 800-462-3732 | |
Coastal Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 James Way, Suite 180, Pismo Beach, CA 93449 Phone: 805-598-0631 Fax: 805-296-6178 | |
Megan Richert, Licensed Clinical Social Worker, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 James Way Ste 150, Pismo Beach, CA 93449 Phone: 805-774-0656 | |
Sacred Path Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1390 Price St, Pismo Beach, CA 93449 Phone: 805-235-8937 | |
Sierra Neuromonitoring Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Wadsworth Ave, Pismo Beach, CA 93449 Phone: 804-398-8505 | |
Judkins Middle School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 680 Wadsworth Ave, Pismo Beach, CA 93449 Phone: 805-781-4700 |