Mending Souls | |
1010 N Central Ave # 310 Glendale CA 91202 | |
(818) 724-9770 | |
(818) 484-2991 |
Full Name | Mending Souls |
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Speciality | Marriage & Family Therapist |
Location | 1010 N Central Ave # 310, Glendale, California |
Authorized Official Name and Position | Lilit Zilifyan (MFT) |
Authorized Official Contact | 8187249770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mending Souls 1010 N Central Ave # 310 Glendale CA 91202-2937 Ph: (818) 724-9770 | Mending Souls 1010 N Central Ave # 310 Glendale CA 91202 Ph: (818) 724-9770 |
NPI Number | 1023551744 |
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Provider Enumeration Date | 11/29/2016 |
Last Update Date | 12/17/2018 |
Medicare PECOS PAC ID | 8527410604 |
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Medicare Enrollment ID | O20240115001400 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023551744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Lilit Zilifyan |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1730422270 PECOS PAC ID: 9133571219 Enrollment ID: I20240125003717 |
Provider Name | Sarine Davityan |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1659518785 PECOS PAC ID: 1951753037 Enrollment ID: I20240208000981 |
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