| Stephanie Chassman, | |
|
204 Hampton Dr, Venice, CA 90291-2623 | |
| (310) 387-8528 | |
| Not Available |
| Full Name | Stephanie Chassman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 204 Hampton Dr, Venice, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508227489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (California) | Primary |
| Entity Name | Meridian Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396202206 PECOS PAC ID: 6305284803 Enrollment ID: O20240403001475 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Chassman, 204 Hampton Dr, Venice, CA 90291-2623 Ph: (310) 387-8528 | Stephanie Chassman, 204 Hampton Dr, Venice, CA 90291-2623 Ph: (310) 387-8528 |
Jorge Guerreiro Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Patricia Guadalupe Rivas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 Lincoln Blvd., Venice, CA 90291 Phone: 310-399-9883 Fax: 310-399-9678 | |
Bannupriya Ramachandran, Counselor Medicare: Medicare Enrolled Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Quesean Gregory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Ocean Front Walk, Venice, CA 90291 Phone: 310-392-3070 | |
Mr. Henry R. Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Ocean Front Walk, Venice, CA 90291 Phone: 310-392-3070 | |
Destiny Starlena Howell, MSW, MPH Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Adriana Eversole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 650-438-9060 |