| Pine Meadow Counseling Inc | |
|
7201 Schirra Ct Ste E Bakersfield CA 93313-2051 | |
| (661) 834-7564 | |
| (661) 831-8882 |
| Full Name | Pine Meadow Counseling Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7201 Schirra Ct Ste E, Bakersfield, California |
| Authorized Official Name and Position | Renee Michele Ortiz-crouch (COO) |
| Authorized Official Contact | 6618347564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Meadow Counseling Inc 7850 White Ln # E249 Bakersfield CA 93309-7698 Ph: (661) 834-7564 | Pine Meadow Counseling Inc 7201 Schirra Ct Ste E Bakersfield CA 93313-2051 Ph: (661) 834-7564 |
| NPI Number | 1225293202 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 05/31/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 2163964701 |
|---|---|
| Medicare Enrollment ID | O20240611000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225293202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (California) | Primary |
| Provider Name | Steven Russell Crouch |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790903458 PECOS PAC ID: 4981146529 Enrollment ID: I20240611001172 |
| Provider Name | Tina Odom |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871944603 PECOS PAC ID: 8426590944 Enrollment ID: I20240611003718 |
| Provider Name | Renee Michele Ortiz-crouch |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740739705 PECOS PAC ID: 5890237432 Enrollment ID: I20240611004065 |
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