| Innervisions Therapeutic Solutions, Inc | |
|
23120 Alicia Pkwy Ste 218 Mission Viejo CA 92692-1212 | |
| (949) 633-5056 | |
| Not Available |
| Full Name | Innervisions Therapeutic Solutions, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 23120 Alicia Pkwy Ste 218, Mission Viejo, California |
| Authorized Official Name and Position | Belinda Marie Dennis-johnson (CEO) |
| Authorized Official Contact | 9496335056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innervisions Therapeutic Solutions, Inc 23120 Alicia Pkwy Ste 218 Mission Viejo CA 92692-1212 Ph: (949) 633-5056 | Innervisions Therapeutic Solutions, Inc 23120 Alicia Pkwy Ste 218 Mission Viejo CA 92692-1212 Ph: (949) 633-5056 |
| NPI Number | 1730712753 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Medicare PECOS PAC ID | 5193267722 |
|---|---|
| Medicare Enrollment ID | O20240611000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730712753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Belinda Marie Dennis-johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174704480 PECOS PAC ID: 6002358637 Enrollment ID: I20240611000526 |
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