| Westside Therapy Services | |
|
4712 Admiralty Way # 964 Marina Del Rey CA 90292-6905 | |
| (310) 634-7277 | |
| Not Available |
| Full Name | Westside Therapy Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4712 Admiralty Way # 964, Marina Del Rey, California |
| Authorized Official Name and Position | Nelli Lilit Gasparian (CEO) |
| Authorized Official Contact | 8186434343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Therapy Services 4712 Admiralty Way # 964 Marina Del Rey CA 90292-6905 Ph: (310) 634-7277 | Westside Therapy Services 4712 Admiralty Way # 964 Marina Del Rey CA 90292-6905 Ph: (310) 634-7277 |
| NPI Number | 1538821517 |
|---|---|
| Provider Enumeration Date | 10/07/2021 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538821517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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