| Path To Healing | |
|
5250 Lindley Ave Encino CA 91316-3518 | |
| (718) 938-0949 | |
| (818) 960-0038 |
| Full Name | Path To Healing |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5250 Lindley Ave, Encino, California |
| Authorized Official Name and Position | Fiana Koshevatsky (OWNER) |
| Authorized Official Contact | 7189380949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path To Healing 5250 Lindley Ave Encino CA 91316-3518 Ph: (718) 938-0949 | Path To Healing 5250 Lindley Ave Encino CA 91316-3518 Ph: (718) 938-0949 |
| NPI Number | 1033878111 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 12/15/2021 |
| Certification Date | 12/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033878111 | NPI | - | NPPES |
| 2412 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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