| Her Space Therapy, A Marriage And Family Corporation | |
|
107 S Fair Oaks Ave Ste 310 Pasadena CA 91105-2012 | |
| (626) 681-3283 | |
| Not Available |
| Full Name | Her Space Therapy, A Marriage And Family Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 107 S Fair Oaks Ave Ste 310, Pasadena, California |
| Authorized Official Name and Position | Cyla G Fisk (OWNER) |
| Authorized Official Contact | 6266813283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Her Space Therapy, A Marriage And Family Corporation 1680 Las Flores Ave San Marino CA 91108-1614 Ph: () - | Her Space Therapy, A Marriage And Family Corporation 107 S Fair Oaks Ave Ste 310 Pasadena CA 91105-2012 Ph: (626) 681-3283 |
| NPI Number | 1023861572 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023861572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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