The Whole Village, Llc | |
1968 S Coast Hwy Ste 1188 Laguna Beach CA 92651-3681 | |
(949) 371-9990 | |
Not Available |
Full Name | The Whole Village, Llc |
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Speciality | Psychologist - Clinical |
Location | 1968 S Coast Hwy Ste 1188, Laguna Beach, California |
Authorized Official Name and Position | Lanique G Ruffin (CEO/ FOUNDER/ PROVIDER) |
Authorized Official Contact | 9493719990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Whole Village, Llc Po Box 893292 Temecula CA 92589-3292 Ph: (949) 371-9990 | The Whole Village, Llc 1968 S Coast Hwy Ste 1188 Laguna Beach CA 92651-3681 Ph: (949) 371-9990 |
NPI Number | 1952910390 |
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Provider Enumeration Date | 07/30/2020 |
Last Update Date | 07/30/2020 |
Certification Date | 07/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952910390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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