| Alyssa Bianconi Momtaheni, LMFT 139124 | |
|
775 Canyon Rd, Redwood City, CA 94062-3023 | |
| (650) 868-9129 | |
| Not Available |
| Full Name | Alyssa Bianconi Momtaheni |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 775 Canyon Rd, Redwood City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114569654 | NPI | - | NPPES |
| 942581686 | Other | CA | COUNTY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | LMFT139124 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Bianconi Momtaheni, LMFT 139124 Po Box 81, Redwood City, CA 94064-0081 Ph: (650) 590-9946 | Alyssa Bianconi Momtaheni, LMFT 139124 775 Canyon Rd, Redwood City, CA 94062-3023 Ph: (650) 868-9129 |
Ziomara Ochoa, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 802 Brewster Ave, Redwood City, CA 94063 Phone: 650-363-4111 | |
Dr. Richard Mark Rusovick, LMFT, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 303 Twin Dolphin Dr, 6th Floor #74, Redwood City, CA 94065 Phone: 951-202-6799 | |
Alejandra Andrade, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-4755 | |
Ms. Carol Sax Kahm, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3789 Hoover St, Redwood City, CA 94063 Phone: 650-363-8769 | |
Mrs. Penny Thomas-proctor, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 165 Arch St, Redwood City, CA 94062 Phone: 650-363-0249 | |
Christopher Matthew Cincotta, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2925 Carolina Ave, Redwood City, CA 94061 Phone: 123-456-7891 | |
Sheryl Corchnoy, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 400 Edmonds Rd, Redwood City, CA 94062 Phone: 650-312-5262 |