| Limitless Minds | |
|
12100 Wilshire Blvd Suite 800 Los Angeles CA 90025-7120 | |
| (310) 775-1521 | |
| (424) 238-8394 |
| Full Name | Limitless Minds |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12100 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Daniel Joesph Banaitis (PRESIDENT/PROGRAM DIRECTOR) |
| Authorized Official Contact | 3107751521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Limitless Minds 12100 Wilshire Blvd Suite 800 Los Angeles CA 90025-7120 Ph: (310) 775-1521 | Limitless Minds 12100 Wilshire Blvd Suite 800 Los Angeles CA 90025-7120 Ph: (310) 775-1521 |
| NPI Number | 1346520459 |
|---|---|
| Provider Enumeration Date | 08/19/2011 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346520459 | NPI | - | NPPES |
| 493372 | Other | MHN PROVIDER ID | |
| A4793432 | Other | CA | AETNA PROVIDER PIN |
| PW5642 | Other | CA | DEPT. OF DEVELOPMENTAL SERVICES (HHS) AGENCY VENDOR NO. |
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