Mental Health Hook-up | |
27201 Tourney Rd Ste 225 Valencia CA 91355-1804 | |
(818) 517-9902 | |
Not Available |
Full Name | Mental Health Hook-up |
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Speciality | Social Worker |
Location | 27201 Tourney Rd Ste 225, Valencia, California |
Authorized Official Name and Position | Barbara B Wilson (OWNER) |
Authorized Official Contact | 8185179902 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mental Health Hook-up 27201 Tourney Rd Ste 225 Valencia CA 91355-1804 Ph: (818) 517-9902 | Mental Health Hook-up 27201 Tourney Rd Ste 225 Valencia CA 91355-1804 Ph: (818) 517-9902 |
NPI Number | 1235854811 |
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Provider Enumeration Date | 10/06/2022 |
Last Update Date | 01/22/2024 |
Certification Date | 01/22/2024 |
Medicare PECOS PAC ID | 3173969649 |
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Medicare Enrollment ID | O20240307001443 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235854811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Barbara B Wilson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831430735 PECOS PAC ID: 8729398219 Enrollment ID: I20151112003125 |
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