Lauren Stockly, | |
855 N Euclid Ave, Ontario, CA 91762-2729 | |
(909) 983-2020 | |
(909) 983-6847 |
Full Name | Lauren Stockly |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 855 N Euclid Ave, Ontario, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104240142 | NPI | - | NPPES |
95-1946482 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | ASW 60180 (California) | Primary |
Entity Name | Soultenders Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
Mailing Address | Practice Location Address |
---|---|
Lauren Stockly, 855 N Euclid Ave, Ontario, CA 91762-2729 Ph: (909) 983-2020 | Lauren Stockly, 855 N Euclid Ave, Ontario, CA 91762-2729 Ph: (909) 983-2020 |
Goleania Cheric Darrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2940 Inland Empire Blvd, Ontario, CA 91764 Phone: 909-458-1371 Fax: 909-466-4820 | |
Mr. Arif Khwaja, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 W F St, Ontario, CA 91762 Phone: 909-986-4506 Fax: 909-986-4506 | |
Cany Tan Chong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3330 N Centre Lake Dr., Ontario, CA 91761 Phone: 925-466-0357 | |
Kaylin Fitzgerald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 W F St, Ste 101, Ontario, CA 91762 Phone: 909-986-4550 | |
Ana L Aguilar, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 S Bon View Ave, Ontario, CA 91761 Phone: 909-930-6793 | |
Stephen Deleonardis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 W F St Ste 101, Ontario, CA 91762 Phone: 909-986-4550 | |
Mrs. Bethany Mikkelle Lindsay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 W F St, Ontario, CA 91762 Phone: 909-986-4550 |