| Leavitt Marriage And Family Therapy A Marriage And Family Therapy Cor | |
|
21700 Oxnard St Ste 400 Woodland Hills CA 91367-7559 | |
| (310) 880-5503 | |
| Not Available |
| Full Name | Leavitt Marriage And Family Therapy A Marriage And Family Therapy Cor |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 21700 Oxnard St Ste 400, Woodland Hills, California |
| Authorized Official Name and Position | Nadya Leavitt (CEO) |
| Authorized Official Contact | 3108805503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leavitt Marriage And Family Therapy A Marriage And Family Therapy Cor 21700 Oxnard St Ste 400 Woodland Hills CA 91367-7559 Ph: (310) 880-5503 | Leavitt Marriage And Family Therapy A Marriage And Family Therapy Cor 21700 Oxnard St Ste 400 Woodland Hills CA 91367-7559 Ph: (310) 880-5503 |
| NPI Number | 1962275743 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 0042660003 |
|---|---|
| Medicare Enrollment ID | O20240103001971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962275743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Nadezda Leavitt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598474033 PECOS PAC ID: 8022468081 Enrollment ID: I20240103003115 |
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