| My Teen Mental Health Llc | |
|
801 15th St Ste A Modesto CA 95354-1129 | |
| (201) 306-5670 | |
| Not Available |
| Full Name | My Teen Mental Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 801 15th St Ste A, Modesto, California |
| Authorized Official Name and Position | Sophie Gomes (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2013065670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Teen Mental Health Llc 2915 Red Hill Ave Ste A210c Costa Mesa CA 92626-7979 Ph: () - | My Teen Mental Health Llc 801 15th St Ste A Modesto CA 95354-1129 Ph: (201) 306-5670 |
| NPI Number | 1073323309 |
|---|---|
| Provider Enumeration Date | 01/09/2025 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073323309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |