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815 W Lancaster Blvd Ste 115 Lancaster CA 93534-2303 | |
| (661) 903-8822 | |
| (661) 231-3143 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 815 W Lancaster Blvd Ste 115, Lancaster, California |
| Authorized Official Name and Position | Tricia Hamm (CEO) |
| Authorized Official Contact | 6619038822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
815 W Lancaster Blvd Ste 115 Lancaster CA 93534-2303 Ph: (661) 903-8822 | 815 W Lancaster Blvd Ste 115 Lancaster CA 93534-2303 Ph: (661) 903-8822 |
| NPI Number | 1134688674 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 1052858396 |
|---|---|
| Medicare Enrollment ID | O20240803000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134688674 | NPI | - | NPPES |
| 95-2633765 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tricia Ilene Hamm |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477931939 PECOS PAC ID: 6901217637 Enrollment ID: I20240803000468 |
| Provider Name | Christopher Theobald |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487032207 PECOS PAC ID: 1052724234 Enrollment ID: I20241121004396 |
| Provider Name | Emily Grace Dingman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942701511 PECOS PAC ID: 0345653523 Enrollment ID: I20241125002531 |
| Provider Name | Hanika Schaare-foster |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881048288 PECOS PAC ID: 8426461609 Enrollment ID: I20241125002708 |
| Provider Name | Carla Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760851653 PECOS PAC ID: 5991118176 Enrollment ID: I20241203002929 |
| Provider Name | Lindsey Galdos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619435153 PECOS PAC ID: 4284160458 Enrollment ID: I20241211001670 |
| Provider Name | Tamara Anne Diamond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346911849 PECOS PAC ID: 2466988589 Enrollment ID: I20241211004578 |
| Provider Name | Deborah Odell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841532736 PECOS PAC ID: 1850827932 Enrollment ID: I20241212001964 |
| Provider Name | Stephanie J Clark |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033621768 PECOS PAC ID: 9436685534 Enrollment ID: I20241212003240 |
| Provider Name | Kara Richards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497208631 PECOS PAC ID: 4587190541 Enrollment ID: I20241213001235 |
| Provider Name | Alexandra Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134694599 PECOS PAC ID: 5991231987 Enrollment ID: I20241213003030 |
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Eugene Morong, M.d., A Professional Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43301 Division St, Suite 104, Lancaster, CA 93535 Phone: 661-945-9554 Fax: 661-948-3484 | |
New Directions Alcohol & Drug Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42257 6th St W, Unit 307, Lancaster, CA 93534 Phone: 661-434-3056 | |
Gentle Guidance Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43751 Beech Ave, Lancaster, CA 93534 Phone: 323-313-5747 | |
Personal Involvement Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 E Avenue K4, Lancaster, CA 93535 Phone: 866-508-0311 Fax: 323-750-0018 | |