| Valley Center For The Prevention Of Family Violence | |
|
6850 Van Nuys Blvd Ste 202 Van Nuys CA 91405-4629 | |
| (818) 786-2079 | |
| (818) 304-0714 |
| Full Name | Valley Center For The Prevention Of Family Violence |
|---|---|
| Speciality | Clinic/Center |
| Location | 6850 Van Nuys Blvd Ste 202, Van Nuys, California |
| Authorized Official Name and Position | Virginia Baldioli (PSYCHOTHERAPIST / DIRECTOR) |
| Authorized Official Contact | 8187862079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Center For The Prevention Of Family Violence 6850 Van Nuys Blvd Ste 202 Van Nuys CA 91405-4629 Ph: (818) 786-2079 | Valley Center For The Prevention Of Family Violence 6850 Van Nuys Blvd Ste 202 Van Nuys CA 91405-4629 Ph: (818) 786-2079 |
| NPI Number | 1699331462 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Medicare PECOS PAC ID | 1951743392 |
|---|---|
| Medicare Enrollment ID | O20240530001746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699331462 | NPI | - | NPPES |
| 942895 | Medicaid | CA | |
| 491692 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Virginia B Baldioli |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033328935 PECOS PAC ID: 2860834207 Enrollment ID: I20240531001990 |
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