Empowered Mind-body Therapy For Individuals And Family Inc | |
3711 Long Beach Blvd # 6041 Long Beach CA 90807-3315 | |
(562) 263-6041 | |
Not Available |
Full Name | Empowered Mind-body Therapy For Individuals And Family Inc |
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Speciality | Marriage & Family Therapist |
Location | 3711 Long Beach Blvd # 6041, Long Beach, California |
Authorized Official Name and Position | Soni Dani-cox (OWNER/MANAGER) |
Authorized Official Contact | 5622636041 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Empowered Mind-body Therapy For Individuals And Family Inc 3711 Long Beach Blvd # 6041 Long Beach CA 90807-3315 Ph: (562) 263-6041 | Empowered Mind-body Therapy For Individuals And Family Inc 3711 Long Beach Blvd # 6041 Long Beach CA 90807-3315 Ph: (562) 263-6041 |
NPI Number | 1992474779 |
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Provider Enumeration Date | 09/07/2021 |
Last Update Date | 05/03/2023 |
Certification Date | 05/03/2023 |
Medicare PECOS PAC ID | 8325498926 |
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Medicare Enrollment ID | O20240716002876 |
Identifier | Type | State | Issuer |
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1992474779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Jessica Reeg |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1144382987 PECOS PAC ID: 1951752781 Enrollment ID: I20240105002600 |
Provider Name | Soni Dani-cox |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1235383217 PECOS PAC ID: 3274078001 Enrollment ID: I20240722002746 |
Provider Name | Monika H Khuc |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1720302763 PECOS PAC ID: 3870936263 Enrollment ID: I20240918000128 |
Provider Name | Wendy T Evans |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033426366 PECOS PAC ID: 5799226783 Enrollment ID: I20240918000240 |
Provider Name | Darryl Nguyen |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1275013138 PECOS PAC ID: 4587105572 Enrollment ID: I20240918000330 |
Provider Name | Stephanie Sarmiento |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1699253443 PECOS PAC ID: 2961943980 Enrollment ID: I20240918001348 |
Provider Name | Zahra Hayderzadeh |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1053742767 PECOS PAC ID: 0941741821 Enrollment ID: I20240918003953 |
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