| Ephraim Consulting, Llc | |
|
38345 30th St E Ste E5 Palmdale CA 93550-4984 | |
| (661) 267-9950 | |
| (844) 350-6075 |
| Full Name | Ephraim Consulting, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 38345 30th St E Ste E5, Palmdale, California |
| Authorized Official Name and Position | Vajezatha Z Payne (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3102006573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ephraim Consulting, Llc 2220 E Palmdale Blvd Unit 901588 Palmdale CA 93590-6574 Ph: (310) 200-6573 | Ephraim Consulting, Llc 38345 30th St E Ste E5 Palmdale CA 93550-4984 Ph: (661) 267-9950 |
| NPI Number | 1205393642 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 2062821879 |
|---|---|
| Medicare Enrollment ID | O20210518002442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205393642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Vajezatha Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558651372 PECOS PAC ID: 4880003698 Enrollment ID: I20210518002584 |
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