| Brandi Woller, LMFT | |
|
1103 E Clark Ave Ste C, Santa Maria, CA 93455-5145 | |
| (805) 697-4288 | |
| Not Available |
| Full Name | Brandi Woller |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1103 E Clark Ave Ste C, Santa Maria, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134760317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 134372 (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | AMFT117853 (California) | Primary |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandi Woller, LMFT 1103 E Clark Ave Ste C, Santa Maria, CA 93455-5145 Ph: (805) 697-4288 | Brandi Woller, LMFT 1103 E Clark Ave Ste C, Santa Maria, CA 93455-5145 Ph: (805) 697-4288 |
Mrs. Patricia Duran Fernandez-ledezma, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 105 N Lincoln St, Santa Maria, CA 93458 Phone: 805-705-5672 | |
Merrie D Lipton, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 900 E Main St Ste 102, Santa Maria, CA 93454 Phone: 805-925-2555 Fax: 888-281-7061 | |
Mrs. Dawn Zierman-hernandez, M.S., L.M.F.T. Couples Therapy Medicare: Medicare Enrolled Practice Location: 1414 S Miller St Ste D, Santa Maria, CA 93454 Phone: 805-720-1670 Fax: 805-800-0621 | |
Mrs. Theresa Ann Lemaire, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 327 Plaza Dr, Suite 6, Santa Maria, CA 93454 Phone: 805-349-0880 Fax: 805-352-0220 | |
Mr. Devin L Drake, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 500 W Foster Rd, Santa Maria, CA 93455 Phone: 805-934-6310 | |
Rachel Bidinost, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 425 Mooncrest Ln, Santa Maria, CA 93455 Phone: 805-937-5473 | |
Mrs. Alba Elisa Barberia, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 625 S Mcclelland, Santa Maria, CA 93454 Phone: 805-614-9535 Fax: 805-614-9390 |