| Prosperity Therapy Services, Inc. | |
|
1460 Maria Ln Ste 300 Walnut Creek CA 94596-5314 | |
| (925) 266-3052 | |
| Not Available |
| Full Name | Prosperity Therapy Services, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1460 Maria Ln Ste 300, Walnut Creek, California |
| Authorized Official Name and Position | Crystal Shields (PRESIDENT) |
| Authorized Official Contact | 9252663052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperity Therapy Services, Inc. 1460 Maria Ln Ste 300 Walnut Creek CA 94596-5314 Ph: (925) 266-3052 | Prosperity Therapy Services, Inc. 1460 Maria Ln Ste 300 Walnut Creek CA 94596-5314 Ph: (925) 266-3052 |
| NPI Number | 1215717137 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215717137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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