| Sweet Mango Therapy Group, Inc. | |
|
11040 Bollinger Canyon Rd Ste E-439 San Ramon CA 94582-4969 | |
| (925) 665-3668 | |
| Not Available |
| Full Name | Sweet Mango Therapy Group, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11040 Bollinger Canyon Rd Ste E-439, San Ramon, California |
| Authorized Official Name and Position | Christine Ann Ramos Melendres (CEO) |
| Authorized Official Contact | 9256653668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Mango Therapy Group, Inc. 11040 Bollinger Canyon Rd Ste E-439 San Ramon CA 94582-4969 Ph: (925) 665-3668 | Sweet Mango Therapy Group, Inc. 11040 Bollinger Canyon Rd Ste E-439 San Ramon CA 94582-4969 Ph: (925) 665-3668 |
| NPI Number | 1295315323 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 01/03/2022 |
| Certification Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295315323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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