| Therapy Associates Clinical Services Inc | |
|
1933 Market St C Redding CA 96001-1929 | |
| (530) 241-9276 | |
| (530) 241-0114 |
| Full Name | Therapy Associates Clinical Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1933 Market St, Redding, California |
| Authorized Official Name and Position | Jamie Lorn Baudizzon (CEO) |
| Authorized Official Contact | 5302419276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Associates Clinical Services Inc 1933 Market St Ste C Redding CA 96001-1929 Ph: (530) 241-9276 | Therapy Associates Clinical Services Inc 1933 Market St C Redding CA 96001-1929 Ph: (530) 241-9276 |
| NPI Number | 1801254958 |
|---|---|
| Provider Enumeration Date | 02/03/2016 |
| Last Update Date | 02/03/2016 |
| Medicare PECOS PAC ID | 2668882085 |
|---|---|
| Medicare Enrollment ID | O20201113000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801254958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS 17258 (California) | Primary |
| Provider Name | Jamie Lorn Baudizzon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194936591 PECOS PAC ID: 5698722379 Enrollment ID: I20050405000652 |
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