Velnonart Transformative Health | |
44250 Division St Ste B Lancaster CA 93535-3547 | |
(818) 571-2561 | |
(818) 337-2235 |
Full Name | Velnonart Transformative Health |
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Speciality | Community/Behavioral Health |
Location | 44250 Division St Ste B, Lancaster, California |
Authorized Official Name and Position | Christopher Boyd (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5622333537 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Velnonart Transformative Health 26504 Tahoe Dr Santa Clarita CA 91354-2516 Ph: () - | Velnonart Transformative Health 44250 Division St Ste B Lancaster CA 93535-3547 Ph: (818) 571-2561 |
NPI Number | 1992494504 |
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Provider Enumeration Date | 05/01/2023 |
Last Update Date | 08/29/2023 |
Certification Date | 08/29/2023 |
Medicare PECOS PAC ID | 1759735285 |
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Medicare Enrollment ID | O20231002002310 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992494504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Christopher T Boyd |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1043931769 PECOS PAC ID: 4789050899 Enrollment ID: I20221014000737 |
Provider Name | Melisa Katrina Chavez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235853128 PECOS PAC ID: 6709232101 Enrollment ID: I20231020001639 |
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