| Holistic Psychotherapy Inc | |
|
23331 El Toro Road Suite 208 Lake Forest CA 92630 | |
| (949) 463-2515 | |
| (949) 484-8931 |
| Full Name | Holistic Psychotherapy Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 23331 El Toro Road, Lake Forest, California |
| Authorized Official Name and Position | Mohammad Gezerseh (MANAGER/OWNER) |
| Authorized Official Contact | 9494632515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Psychotherapy Inc 2149 Ronda Granada Unit A Laguna Woods CA 92637 Ph: (949) 463-2515 | Holistic Psychotherapy Inc 23331 El Toro Road Suite 208 Lake Forest CA 92630 Ph: (949) 463-2515 |
| NPI Number | 1316709652 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316709652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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