| Matthews Family Counseling-a Place To Grow Inc | |
|
740 W. 190th St. Suite A Gardena CA 90248 | |
| (562) 306-2925 | |
| Not Available |
| Full Name | Matthews Family Counseling-a Place To Grow Inc |
|---|---|
| Speciality | Counselor |
| Location | 740 W. 190th St. Suite A, Gardena, California |
| Authorized Official Name and Position | Tiffany Matthews (OWNER) |
| Authorized Official Contact | 5623062925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthews Family Counseling-a Place To Grow Inc 740 W. 190th St. Suite A Gardena CA 90248 Ph: (562) 306-2925 | Matthews Family Counseling-a Place To Grow Inc 740 W. 190th St. Suite A Gardena CA 90248 Ph: (562) 306-2925 |
| NPI Number | 1386225563 |
|---|---|
| Provider Enumeration Date | 04/19/2021 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 7113367939 |
|---|---|
| Medicare Enrollment ID | O20240426002231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386225563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tiffany Matthews |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164889333 PECOS PAC ID: 0840630661 Enrollment ID: I20240426002286 |
| Provider Name | Gregory C Owens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023509346 PECOS PAC ID: 7618319427 Enrollment ID: I20240524001758 |
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