| Incredibly Inspirational, Inc | |
|
2009 Palo Verde Ave Ste A Long Beach CA 90815-3322 | |
| (562) 743-2389 | |
| Not Available |
| Full Name | Incredibly Inspirational, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2009 Palo Verde Ave Ste A, Long Beach, California |
| Authorized Official Name and Position | Katherine Elaine Erickson (CEO) |
| Authorized Official Contact | 5627432389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Incredibly Inspirational, Inc 6305 E Eliot St Long Beach CA 90803-2205 Ph: (562) 743-2389 | Incredibly Inspirational, Inc 2009 Palo Verde Ave Ste A Long Beach CA 90815-3322 Ph: (562) 743-2389 |
| NPI Number | 1639558232 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/28/2015 |
| Medicare PECOS PAC ID | 1153753140 |
|---|---|
| Medicare Enrollment ID | O20191113000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639558232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS 16061 (California) | Primary |
| Provider Name | Katherine Elaine Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346379419 PECOS PAC ID: 5597946087 Enrollment ID: I20191113000633 |
| Provider Name | Andrea Sanserino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740322452 PECOS PAC ID: 1759702384 Enrollment ID: I20200605001568 |
Helpline Youth Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 Rhea St, Long Beach, CA 90806 Phone: 562-599-2244 Fax: 562-946-3641 | |
Mental Health America Of Los Angeles Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Pine Ave Ste 400, Long Beach, CA 90802 Phone: 562-285-1330 Fax: 562-263-3395 | |
Long Beach Family Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 W Pacific Coast Hwy, Long Beach, CA 90806 Phone: 310-679-9126 Fax: 310-679-2920 | |
Julie Goalwin, Ph.d. A Psychological Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 115 Pine Ave Ste 640, Long Beach, CA 90802 Phone: 562-364-8587 Fax: 562-364-8588 | |
In The Meantime Breathe Family Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4401 Atlantic Ave Ste 229, Long Beach, CA 90807 Phone: 310-220-9631 | |
Silvan Medical Consulting, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2776 Pacific Ave, Long Beach, CA 90806 Phone: 949-288-5377 Fax: 774-209-4466 | |
Pride Detox Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3805 E 15th St, Long Beach, CA 90804 Phone: 866-465-6889 Fax: 561-671-7512 |