| Dianalucy Eneriz-champion, | |
|
19040 Soledad Canyon Rd Ste 260, Santa Clarita, CA 91351-3363 | |
| (661) 505-8415 | |
| Not Available |
| Full Name | Dianalucy Eneriz-champion |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 19040 Soledad Canyon Rd Ste 260, Santa Clarita, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447637517 | NPI | - | NPPES |
| 56CC | Other | CA | ASPIRANET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Psychological Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154954303 PECOS PAC ID: 6204272271 Enrollment ID: O20240313000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Dianalucy Eneriz-champion, 3402 Highwood Ct Apt 165, Simi Valley, CA 93063-5382 Ph: (818) 590-0449 | Dianalucy Eneriz-champion, 19040 Soledad Canyon Rd Ste 260, Santa Clarita, CA 91351-3363 Ph: (661) 505-8415 |
Dr. Salma Wahidi, PSY. D Counselor Medicare: Medicare Enrolled Practice Location: 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350 Phone: 661-259-9439 | |
Ashley Nicole Reilly, CATC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350 Phone: 661-803-0524 | |
Mr. Muhammad Ridwan Rahman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 27141 Hidaway Ave, # 205, Santa Clarita, CA 91351 Phone: 661-618-2213 | |
Carrie Ray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22722 Soledad Canyon Rd, Santa Clarita, CA 91350 Phone: 818-517-8481 | |
Wendy Mejia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350 Phone: 661-259-9439 | |
Barry Olson Olson, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 24460 Lyons Ave, Santa Clarita, CA 91321 Phone: 661-253-9400 Fax: 661-253-9403 | |
Cherrie Phillips, Counselor Medicare: Medicare Enrolled Practice Location: 23504 Lyons Ave Ste 401b, Santa Clarita, CA 91321 Phone: 661-977-4747 |