| Village Church, Inc. | |
|
3216 W Victory Blvd Burbank CA 91505-1597 | |
| (818) 843-4883 | |
| (818) 843-3423 |
| Full Name | Village Church, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3216 W Victory Blvd, Burbank, California |
| Authorized Official Name and Position | Kimberly Ann Dodd (EXECUTIVE CLINICAL DIRECTOR) |
| Authorized Official Contact | 8188434883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Church, Inc. 3216 W Victory Blvd Burbank CA 91505-1597 Ph: (818) 843-4883 | Village Church, Inc. 3216 W Victory Blvd Burbank CA 91505-1597 Ph: (818) 843-4883 |
| NPI Number | 1477312403 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477312403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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