| Heal And Thrive Psychotherapy | |
|
14241 Firestone Blvd Ste 400 La Mirada CA 90638-5534 | |
| (818) 606-1357 | |
| (714) 820-6794 |
| Full Name | Heal And Thrive Psychotherapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14241 Firestone Blvd Ste 400, La Mirada, California |
| Authorized Official Name and Position | Roozbeh Khoshniyat (COO) |
| Authorized Official Contact | 8186061357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal And Thrive Psychotherapy 14241 Firestone Blvd Ste 400 La Mirada CA 90638-5534 Ph: (818) 606-1357 | Heal And Thrive Psychotherapy 14241 Firestone Blvd Ste 400 La Mirada CA 90638-5534 Ph: (818) 606-1357 |
| NPI Number | 1245872571 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 10/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245872571 | NPI | - | NPPES |
| 103T00000X | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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