| Nourished Psychotherapy Group | |
|
169 Saxony Rd Ste 111 Encinitas CA 92024-6779 | |
| (760) 760-7217 | |
| Not Available |
| Full Name | Nourished Psychotherapy Group |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 169 Saxony Rd Ste 111, Encinitas, California |
| Authorized Official Name and Position | Kelly Vincent (CEO) |
| Authorized Official Contact | 9166011925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nourished Psychotherapy Group 169 Saxony Rd Ste 111 Encinitas CA 92024-6779 Ph: (760) 760-7217 | Nourished Psychotherapy Group 169 Saxony Rd Ste 111 Encinitas CA 92024-6779 Ph: (760) 760-7217 |
| NPI Number | 1548912900 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 01/26/2022 |
| Certification Date | 01/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548912900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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