| Enlightenment & Rebirth Therapy, Inc. | |
|
44349 Lowtree Ave Ste 108 Lancaster CA 93534-4104 | |
| (661) 524-9115 | |
| (661) 522-7833 |
| Full Name | Enlightenment & Rebirth Therapy, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 44349 Lowtree Ave Ste 108, Lancaster, California |
| Authorized Official Name and Position | Harriet Anderson (OWNER) |
| Authorized Official Contact | 6615249115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlightenment & Rebirth Therapy, Inc. 44349 Lowtree Ave Ste 108 Lancaster CA 93534-4104 Ph: (661) 524-9115 | Enlightenment & Rebirth Therapy, Inc. 44349 Lowtree Ave Ste 108 Lancaster CA 93534-4104 Ph: (661) 524-9115 |
| NPI Number | 1851082663 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Medicare PECOS PAC ID | 5991141590 |
|---|---|
| Medicare Enrollment ID | O20240305004587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851082663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Harriet R Vasquez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437482098 PECOS PAC ID: 3870908148 Enrollment ID: I20240305004594 |
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