| A Place Of Growth | |
|
591 Camino De La Reina Ste 802 San Diego CA 92108-3110 | |
| (858) 519-8002 | |
| (619) 684-3788 |
| Full Name | A Place Of Growth |
|---|---|
| Speciality | Counselor |
| Location | 591 Camino De La Reina Ste 802, San Diego, California |
| Authorized Official Name and Position | Vanessa Danielle Villasenor (CEO) |
| Authorized Official Contact | 8585198002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Place Of Growth 591 Camino De La Reina Ste 802 San Diego CA 92108-3110 Ph: (858) 519-8002 | A Place Of Growth 591 Camino De La Reina Ste 802 San Diego CA 92108-3110 Ph: (858) 519-8002 |
| NPI Number | 1083198782 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Medicare PECOS PAC ID | 4486067618 |
|---|---|
| Medicare Enrollment ID | O20231025002476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083198782 | NPI | - | NPPES |
| 1073892956 | Medicaid | CA | |
| 1578926192 | Medicaid | CA | |
| 1669011599 | Medicaid | CA | |
| 1922333665 | Medicaid | CA | |
| 1093267361 | Other | CA | NPI |
| 1699020644 | Other | CA | NPI |
| 1821355280 | Medicaid | CA | |
| 1548601685 | Medicaid | CA | |
| 1942653332 | Other | CA | NPI |
| 1245646009 | Medicaid | CA | |
| 1265998322 | Medicaid | CA | |
| 1285844456 | Other | CA | NPI |
| 1356963326 | Medicaid | CA | |
| 1639564396 | Medicaid | CA | |
| 1699159764 | Medicaid | CA | |
| 1093267361 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Danielle Salena Sims |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548601685 PECOS PAC ID: 3072969195 Enrollment ID: I20231026000873 |
| Provider Name | Katelyn Rahlfs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578926192 PECOS PAC ID: 1254781362 Enrollment ID: I20240102000450 |
| Provider Name | Vanessa Danielle Villasenor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699020644 PECOS PAC ID: 7416303581 Enrollment ID: I20240104000026 |
| Provider Name | Yesenia Cortes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821355280 PECOS PAC ID: 5294187357 Enrollment ID: I20240115000930 |
| Provider Name | Rita Beltran |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033758909 PECOS PAC ID: 9133571607 Enrollment ID: I20240119003074 |
| Provider Name | Guadalupe Liset Gallegos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073892956 PECOS PAC ID: 7517319825 Enrollment ID: I20240122003799 |
| Provider Name | Jessica Anne Roach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487172516 PECOS PAC ID: 2163866328 Enrollment ID: I20240215004200 |
| Provider Name | Carmina Lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639564396 PECOS PAC ID: 5597100263 Enrollment ID: I20240304003235 |
| Provider Name | Jessica Rosas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124533427 PECOS PAC ID: 8426496324 Enrollment ID: I20240410001862 |
| Provider Name | Gabriela Quintero |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699159764 PECOS PAC ID: 4385085471 Enrollment ID: I20240507001866 |
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