| Healing Mind Wellness And Psychology Center Inc | |
|
16661 Ventura Blvd Ste 211 Encino CA 91436-1938 | |
| (818) 205-1200 | |
| (818) 205-1254 |
| Full Name | Healing Mind Wellness And Psychology Center Inc |
|---|---|
| Speciality | Counselor |
| Location | 16661 Ventura Blvd Ste 211, Encino, California |
| Authorized Official Name and Position | Mehrnoosh Rezapour (OWNER) |
| Authorized Official Contact | 8182051200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Mind Wellness And Psychology Center Inc 24040 Killion St Woodland Hills CA 91367-5726 Ph: (818) 205-1200 | Healing Mind Wellness And Psychology Center Inc 16661 Ventura Blvd Ste 211 Encino CA 91436-1938 Ph: (818) 205-1200 |
| NPI Number | 1306590146 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Medicare PECOS PAC ID | 9335533140 |
|---|---|
| Medicare Enrollment ID | O20220221001833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306590146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mehrnoosh Rezapour |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1720203458 PECOS PAC ID: 0547552879 Enrollment ID: I20160707001024 |
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