Path To Healing | |
5250 Lindley Ave Encino CA 91316-3518 | |
(718) 938-0949 | |
(818) 960-0038 |
Full Name | Path To Healing |
---|---|
Speciality | Social Worker - Clinical |
Location | 5250 Lindley Ave, Encino, California |
Authorized Official Name and Position | Fiana Koshevatsky (OWNER) |
Authorized Official Contact | 7189380949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Path To Healing 5250 Lindley Ave Encino CA 91316-3518 Ph: (718) 938-0949 | Path To Healing 5250 Lindley Ave Encino CA 91316-3518 Ph: (718) 938-0949 |
NPI Number | 1033878111 |
---|---|
Provider Enumeration Date | 12/15/2021 |
Last Update Date | 12/15/2021 |
Certification Date | 12/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033878111 | NPI | - | NPPES |
2412 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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