| Miracles In Action, Llc | |
|
9241 Reseda Blvd Ste 200 Northridge CA 91324-3138 | |
| (818) 429-9103 | |
| (747) 237-7860 |
| Full Name | Miracles In Action, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9241 Reseda Blvd Ste 200, Northridge, California |
| Authorized Official Name and Position | Amna Butler (DIRECTOR/OPERATOR) |
| Authorized Official Contact | 8184299103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracles In Action, Llc 9241 Reseda Blvd Ste 200 Northridge CA 91324-3138 Ph: (818) 429-9103 | Miracles In Action, Llc 9241 Reseda Blvd Ste 200 Northridge CA 91324-3138 Ph: (818) 429-9103 |
| NPI Number | 1003533944 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/21/2022 |
| Certification Date | 10/21/2022 |
| Medicare PECOS PAC ID | 9739541350 |
|---|---|
| Medicare Enrollment ID | O20230815000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003533944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Bruce M Stark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902801301 PECOS PAC ID: 4183514854 Enrollment ID: I20040317000318 |
Dare To Dream Recovery Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8805 Reseda Blvd, Northridge, CA 91324 Phone: 918-964-3632 | |
Abul H. Shirazi, Md, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9849 Melvin Avenue, Northridge, CA 91324 Phone: 818-372-0656 Fax: 818-709-6358 | |
Clear Path Mental Health Counseling Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9700 Reseda Blvd Ste 208, Northridge, CA 91324 Phone: 818-644-9920 Fax: 818-337-0440 | |
Tia Brisco, Licensed Marriage And Family Therapy, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17130 Devonshire St Ste 104a, Northridge, CA 91325 Phone: 661-675-8756 | |
Mouchamel Family Therapy, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8834 Reseda Blvd # 1027, Northridge, CA 91324 Phone: 818-900-5875 | |
Bee Well Psychological Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8441 Balboa Blvd Apt 12a, Northridge, CA 91325 Phone: 619-786-4693 |