| Our Community Counseling | |
|
1704 W Manchester Ave Ste 210-f Los Angeles CA 90047-3063 | |
| (323) 286-9318 | |
| Not Available |
| Full Name | Our Community Counseling |
|---|---|
| Speciality | Counselor |
| Location | 1704 W Manchester Ave Ste 210-f, Los Angeles, California |
| Authorized Official Name and Position | Kyra Sanchez (CLINICAL THERAPIST) |
| Authorized Official Contact | 3232869318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Community Counseling Po Box 470812 Los Angeles CA 90047-9112 Ph: () - | Our Community Counseling 1704 W Manchester Ave Ste 210-f Los Angeles CA 90047-3063 Ph: (323) 286-9318 |
| NPI Number | 1265065742 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Medicare PECOS PAC ID | 5496169997 |
|---|---|
| Medicare Enrollment ID | O20210125001079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265065742 | NPI | - | NPPES |
| Provider Name | Kyra Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124436175 PECOS PAC ID: 3678987187 Enrollment ID: I20210125001511 |
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