| True Living Therapy Licensed Clinical Social Worker, Inc | |
|
1 Harbor Ctr Ste 240 Suisun City CA 94585-2449 | |
| (707) 410-0377 | |
| (707) 981-4350 |
| Full Name | True Living Therapy Licensed Clinical Social Worker, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 Harbor Ctr Ste 240, Suisun City, California |
| Authorized Official Name and Position | Tomikka Lee (CEO) |
| Authorized Official Contact | 5599999871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| True Living Therapy Licensed Clinical Social Worker, Inc 9106 Cambridge Cir Vallejo CA 94591-8595 Ph: (559) 999-9871 | True Living Therapy Licensed Clinical Social Worker, Inc 1 Harbor Ctr Ste 240 Suisun City CA 94585-2449 Ph: (707) 410-0377 |
| NPI Number | 1598479982 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Certification Date | 01/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598479982 | NPI | - | NPPES |
| 61843 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Destiny Ripley Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Woodlark Dr, Suisun City, CA 94585 Phone: 707-399-8927 | |
E5 Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 333 Sunset Ave Ste 200, Suisun City, CA 94585 Phone: 707-225-7899 Fax: 707-759-3810 |