| Leading Edge Transitions | |
|
155 Granada St Suite A Camarillo CA 93010-7866 | |
| (805) 340-8055 | |
| Not Available |
| Full Name | Leading Edge Transitions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 155 Granada St, Camarillo, California |
| Authorized Official Name and Position | Ted Wrablik (CEO) |
| Authorized Official Contact | 8053408055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leading Edge Transitions 9050 Feather St Ventura CA 93004-3046 Ph: (805) 340-8055 | Leading Edge Transitions 155 Granada St Suite A Camarillo CA 93010-7866 Ph: (805) 340-8055 |
| NPI Number | 1386047124 |
|---|---|
| Provider Enumeration Date | 10/08/2014 |
| Last Update Date | 10/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386047124 | NPI | - | NPPES |
| LMFT49057 | Other | CA | MFT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LMFT49057 (California) | Primary |
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