| Kayleigh Eden, | |
|
5212 Katella Ave Ste 202, Los Alamitos, CA 90720-6831 | |
| (562) 685-6722 | |
| Not Available |
| Full Name | Kayleigh Eden |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5212 Katella Ave Ste 202, Los Alamitos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265880173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 120525 (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 |
|---|---|
| Kayleigh Eden, 5318 E 2nd St # 750, Long Beach, CA 90803-5324 Ph: (562) 685-6722 | Kayleigh Eden, 5212 Katella Ave Ste 202, Los Alamitos, CA 90720-6831 Ph: (562) 685-6722 |
Miss Stephanie Ariana Acevedo-moran, LMFT, LAADC,BCBA Counselor Medicare: Medicare Enrolled Practice Location: 5212 Katella Ave Ste 103b, Los Alamitos, CA 90720 Phone: 714-743-0704 | |
David Nima Dabiri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4281 Katella Ave Ste 117, Los Alamitos, CA 90720 Phone: 562-596-0050 Fax: 562-596-0058 | |
Shelley Claire Mulock, AMFT, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5212 Katella Ave Ste 103b, Los Alamitos, CA 90720 Phone: 562-250-5157 | |
Amanda O'neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3662 Katella Ave Ste 115, Los Alamitos, CA 90720 Phone: 714-795-4692 | |
James Walsh Doyle, CADC-II T Counselor Medicare: Not Enrolled in Medicare Practice Location: 4388 Katella Ave, Los Alamitos, CA 90720 Phone: 562-594-8844 | |
Jasmine Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4388 Katella Ave, Los Alamitos, CA 90720 Phone: 562-594-8844 Fax: 562-594-8844 | |
Corinne Stamm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4388 Katella Ave, Los Alamitos, CA 90720 Phone: 562-596-0050 Fax: 562-596-0058 |