| Wallflowers Bloom Family Therapy Inc | |
|
25000 Avenue Stanford Ste 240 Valencia CA 91355-4598 | |
| (818) 414-8507 | |
| Not Available |
| Full Name | Wallflowers Bloom Family Therapy Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 25000 Avenue Stanford Ste 240, Valencia, California |
| Authorized Official Name and Position | Nicole Segroves (PRACTICE MANAGER) |
| Authorized Official Contact | 6618747851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallflowers Bloom Family Therapy Inc 13883 Garber St Arleta CA 91331-5431 Ph: (818) 414-8507 | Wallflowers Bloom Family Therapy Inc 25000 Avenue Stanford Ste 240 Valencia CA 91355-4598 Ph: (818) 414-8507 |
| NPI Number | 1588260319 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 04/23/2021 |
| Certification Date | 04/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588260319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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