| Support 4 Heroes Llc | |
|
45562 Stanridge Ave Lancaster CA 93535-1820 | |
| (661) 434-1943 | |
| Not Available |
| Full Name | Support 4 Heroes Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 45562 Stanridge Ave, Lancaster, California |
| Authorized Official Name and Position | Amber Marie Carra (CHIEF CLINICAL DIRECTOR) |
| Authorized Official Contact | 6614341943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Support 4 Heroes Llc 45562 Stanridge Ave Lancaster CA 93535-1820 Ph: (661) 434-1943 | Support 4 Heroes Llc 45562 Stanridge Ave Lancaster CA 93535-1820 Ph: (661) 434-1943 |
| NPI Number | 1316514821 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316514821 | NPI | - | NPPES |
| 15066191 | Other | CA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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