| Menda Behavioral Health Services Of California, Pc | |
|
1303 Pendleton St Se Atlanta GA 30316-3801 | |
| (323) 776-3632 | |
| Not Available |
| Full Name | Menda Behavioral Health Services Of California, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1303 Pendleton St Se, Atlanta, Georgia |
| Authorized Official Name and Position | Leslie Aria (PRESIDENT) |
| Authorized Official Contact | 9066271297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Menda Behavioral Health Services Of California, Pc 1303 Pendleton St Se Atlanta GA 30316-3801 Ph: () - | Menda Behavioral Health Services Of California, Pc 1303 Pendleton St Se Atlanta GA 30316-3801 Ph: (323) 776-3632 |
| NPI Number | 1962108779 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/01/2023 |
| Medicare PECOS PAC ID | 6709251192 |
|---|---|
| Medicare Enrollment ID | O20230418000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962108779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Leslie A Aria |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194879528 PECOS PAC ID: 6204062540 Enrollment ID: I20131115000588 |
| Provider Name | Angela Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821577107 PECOS PAC ID: 2668850579 Enrollment ID: I20220606001872 |
| Provider Name | Linda Frances Lara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558758995 PECOS PAC ID: 9234598673 Enrollment ID: I20230703003023 |
| Provider Name | Linda Tran |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952326035 PECOS PAC ID: 1153764006 Enrollment ID: I20240207001991 |
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