| Mobile Therapy Solutions Llc | |
|
322 Hanover Ave Apt 304 Oakland CA 94606-1393 | |
| (408) 469-0267 | |
| Not Available |
| Full Name | Mobile Therapy Solutions Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 322 Hanover Ave Apt 304, Oakland, California |
| Authorized Official Name and Position | Ajene White (CEO) |
| Authorized Official Contact | 5106213634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Therapy Solutions Llc 322 Hanover Ave Apt 304 Oakland CA 94606-1393 Ph: (408) 469-0267 | Mobile Therapy Solutions Llc 322 Hanover Ave Apt 304 Oakland CA 94606-1393 Ph: (408) 469-0267 |
| NPI Number | 1356006563 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Medicare PECOS PAC ID | 6406246396 |
|---|---|
| Medicare Enrollment ID | O20211208002161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356006563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ajene White |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790108728 PECOS PAC ID: 7214327105 Enrollment ID: I20211208002312 |
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