| Living Success Center | |
|
445 E. 17th Street, Suites D & E Costa Mesa CA 92627 | |
| (949) 645-4723 | |
| (949) 423-7728 |
| Full Name | Living Success Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 445 E. 17th Street, Suites D & E, Costa Mesa, California |
| Authorized Official Name and Position | Annette Rector Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9496454723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Success Center P.o. Box 11346 Costa Mesa CA 92627 Ph: (949) 645-4723 | Living Success Center 445 E. 17th Street, Suites D & E Costa Mesa CA 92627 Ph: (949) 645-4723 |
| NPI Number | 1750857686 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 10/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750857686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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