| Inner Wisdom Psychotherapy Assoc., Inc | |
|
17111 Beach Blvd Ste 204 Huntington Beach CA 92647-5947 | |
| (714) 814-3336 | |
| (602) 467-3069 |
| Full Name | Inner Wisdom Psychotherapy Assoc., Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17111 Beach Blvd Ste 204, Huntington Beach, California |
| Authorized Official Name and Position | Naomi C Babcock (OWNER/SUPERVISOR) |
| Authorized Official Contact | 7148143336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Wisdom Psychotherapy Assoc., Inc 20951 Surge Ln Huntington Beach CA 92646-6625 Ph: (714) 814-3336 | Inner Wisdom Psychotherapy Assoc., Inc 17111 Beach Blvd Ste 204 Huntington Beach CA 92647-5947 Ph: (714) 814-3336 |
| NPI Number | 1396373882 |
|---|---|
| Provider Enumeration Date | 03/30/2020 |
| Last Update Date | 03/30/2020 |
| Certification Date | 03/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396373882 | NPI | - | NPPES |
| 1619004736 | Other | AZ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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