Innervations Therapy | |
858 Maryland Dr Vista CA 92083-3361 | |
(760) 500-3740 | |
Not Available |
Full Name | Innervations Therapy |
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Speciality | Marriage & Family Therapist |
Location | 858 Maryland Dr, Vista, California |
Authorized Official Name and Position | Liza M Castro (OWNER) |
Authorized Official Contact | 7605003740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Innervations Therapy 858 Maryland Dr Vista CA 92083-3361 Ph: (760) 500-3740 | Innervations Therapy 858 Maryland Dr Vista CA 92083-3361 Ph: (760) 500-3740 |
NPI Number | 1629813845 |
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Provider Enumeration Date | 06/28/2024 |
Last Update Date | 06/28/2024 |
Certification Date | 06/28/2024 |
Medicare PECOS PAC ID | 7416497961 |
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Medicare Enrollment ID | O20240911000160 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629813845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Liza Castro |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1720572654 PECOS PAC ID: 8628514288 Enrollment ID: I20240719001867 |
Rowi North Orange County, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 S Melrose Dr Ste 202, Vista, CA 92081 Phone: 805-356-3372 | |
Lori J. Magnusson, Ph.d.,apc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 W Vista Way Ste 105, Vista, CA 92083 Phone: 760-634-6643 Fax: 760-634-6643 | |
North County Lifeline Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Michigan Ave, Vista, CA 92084 Phone: 760-726-4900 | |