| Thelese Consulting Group | |
|
8929 S. Sepulveda Blvd Suite 400 Los Angeles CA 90045 | |
| (424) 317-6800 | |
| (877) 219-8239 |
| Full Name | Thelese Consulting Group |
|---|---|
| Speciality | Social Worker |
| Location | 8929 S. Sepulveda Blvd, Los Angeles, California |
| Authorized Official Name and Position | Wendy Thelese Talley (FOUNDER/CEO) |
| Authorized Official Contact | 4243176800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thelese Consulting Group 8929 S. Sepulveda Blvd Suite 400 Los Angeles CA 90045 Ph: (424) 317-6800 | Thelese Consulting Group 8929 S. Sepulveda Blvd Suite 400 Los Angeles CA 90045 Ph: (424) 317-6800 |
| NPI Number | 1679937627 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Medicare PECOS PAC ID | 6709282056 |
|---|---|
| Medicare Enrollment ID | O20210910002990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679937627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 25988 (California) | Secondary |
| Provider Name | Wendy Talley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013108521 PECOS PAC ID: 7214334598 Enrollment ID: I20210929002165 |
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