| Looking Glass Therapy Solutions | |
|
14841 Yorba St Ste 209 Tustin CA 92780-2946 | |
| (619) 815-4484 | |
| Not Available |
| Full Name | Looking Glass Therapy Solutions |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 14841 Yorba St Ste 209, Tustin, California |
| Authorized Official Name and Position | Brandon M. Mcqueen (PSYCHOLOGICAL DIRECTOR) |
| Authorized Official Contact | 6192453709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Looking Glass Therapy Solutions 14841 Yorba St Ste 209 Tustin CA 92780-2946 Ph: (619) 245-3709 | Looking Glass Therapy Solutions 14841 Yorba St Ste 209 Tustin CA 92780-2946 Ph: (619) 815-4484 |
| NPI Number | 1356113120 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 0143668590 |
|---|---|
| Medicare Enrollment ID | O20240403003440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356113120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Brandon Mcqueen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154868529 PECOS PAC ID: 4284072802 Enrollment ID: I20240402002126 |
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