| Kaizen Conscious Living & Family Therapy, Profession Corporation | |
|
23120 Alicia Pkwy Ste 200 Mission Viejo CA 92692-1212 | |
| (949) 306-1772 | |
| Not Available |
| Full Name | Kaizen Conscious Living & Family Therapy, Profession Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 23120 Alicia Pkwy Ste 200, Mission Viejo, California |
| Authorized Official Name and Position | Kimberly J Cravotta-purvis (CEO) |
| Authorized Official Contact | 9493108417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaizen Conscious Living & Family Therapy, Profession Corporation 33742 Alcazar Dr Apt A Dana Point CA 92629-6402 Ph: (949) 310-8417 | Kaizen Conscious Living & Family Therapy, Profession Corporation 23120 Alicia Pkwy Ste 200 Mission Viejo CA 92692-1212 Ph: (949) 306-1772 |
| NPI Number | 1316762339 |
|---|---|
| Provider Enumeration Date | 11/15/2024 |
| Last Update Date | 11/15/2024 |
| Certification Date | 11/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316762339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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