| New Leaf Marriage & Family Therapy, Inc. | |
|
2489 Tapo St Ste B Simi Valley CA 93063-2453 | |
| (805) 774-1506 | |
| Not Available |
| Full Name | New Leaf Marriage & Family Therapy, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2489 Tapo St Ste B, Simi Valley, California |
| Authorized Official Name and Position | Natalie Anne Bologna (COMPANY PRESIDENT) |
| Authorized Official Contact | 8057741506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Marriage & Family Therapy, Inc. 2489 Tapo St Ste B Simi Valley CA 93063-2453 Ph: (805) 774-1506 | New Leaf Marriage & Family Therapy, Inc. 2489 Tapo St Ste B Simi Valley CA 93063-2453 Ph: (805) 774-1506 |
| NPI Number | 1013647023 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013647023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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