| Self Care Counseling Marriage Family And Child Therapy Inc. | |
|
1910 W Sunset Blvd Ste 400 Los Angeles CA 90026-3262 | |
| (213) 347-4740 | |
| (818) 476-7206 |
| Full Name | Self Care Counseling Marriage Family And Child Therapy Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1910 W Sunset Blvd Ste 400, Los Angeles, California |
| Authorized Official Name and Position | Luz Elena Flores (MFT/OWNER) |
| Authorized Official Contact | 2133474740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Care Counseling Marriage Family And Child Therapy Inc. 1910 W Sunset Blvd Ste 400 Los Angeles CA 90026-3262 Ph: (213) 347-4740 | Self Care Counseling Marriage Family And Child Therapy Inc. 1910 W Sunset Blvd Ste 400 Los Angeles CA 90026-3262 Ph: (213) 347-4740 |
| NPI Number | 1558909960 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 6608267000 |
|---|---|
| Medicare Enrollment ID | O20211220000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558909960 | NPI | - | NPPES |
| Provider Name | Edgar Rico |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104241470 PECOS PAC ID: 1153720784 Enrollment ID: I20210601001843 |
| Provider Name | Kemi Arlene Alemoh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891146908 PECOS PAC ID: 9931598836 Enrollment ID: I20211115002861 |
| Provider Name | Michelle S Enriquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144810771 PECOS PAC ID: 7315391745 Enrollment ID: I20231003003320 |
| Provider Name | Brendan Marquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710347364 PECOS PAC ID: 0547617433 Enrollment ID: I20231115000557 |
| Provider Name | Luz Elena Flores |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376840744 PECOS PAC ID: 8325439722 Enrollment ID: I20240116001988 |
| Provider Name | Sameh Abdelmalak |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245755586 PECOS PAC ID: 0042662488 Enrollment ID: I20240122001122 |
| Provider Name | Patricia Castillo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083893739 PECOS PAC ID: 9335592773 Enrollment ID: I20240201001086 |
| Provider Name | Jonathan Kendall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124754551 PECOS PAC ID: 3375986870 Enrollment ID: I20240212004345 |
| Provider Name | Sarah Lee Kendall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588262042 PECOS PAC ID: 1759726896 Enrollment ID: I20240229000001 |
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