| Lavender Mood Family Counseling Inc | |
|
337 N Vineyard Ave Ste 400 Ontario CA 91764-4436 | |
| (562) 270-5113 | |
| (562) 261-0317 |
| Full Name | Lavender Mood Family Counseling Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 337 N Vineyard Ave Ste 400, Ontario, California |
| Authorized Official Name and Position | Jessica Morales (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5622705113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavender Mood Family Counseling Inc 337 N Vineyard Ave Ste 400 Ontario CA 91764-4436 Ph: (562) 270-5113 | Lavender Mood Family Counseling Inc 337 N Vineyard Ave Ste 400 Ontario CA 91764-4436 Ph: (562) 270-5113 |
| NPI Number | 1639859804 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639859804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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