| Jennah Rose Childs, | |
|
15720 Ventura Blvd Ste 420, Encino, CA 91436-4711 | |
| (626) 318-9234 | |
| Not Available |
| Full Name | Jennah Rose Childs |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 15720 Ventura Blvd Ste 420, Encino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083078117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT121401 (California) | Primary |
| 101YM0800X | Counselor - Mental Health | MC60539432 (Washington) | Secondary |
| 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 |
|---|---|
| Jennah Rose Childs, 325 E Pioneer, Puyallup, WA 98372-3265 Ph: (253) 697-8400 | Jennah Rose Childs, 15720 Ventura Blvd Ste 420, Encino, CA 91436-4711 Ph: (626) 318-9234 |
Curt Ryan Widhalm, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd Ste 605, Encino, CA 91436 Phone: 818-826-3557 | |
Mr. Alan Rudolph, M.S., M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5535 Balboa Blvd, Encino, CA 91316 Phone: 818-788-2738 | |
Nicole Yeroushalmi, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15720 Ventura Blvd Ste 603, Encino, CA 91436 Phone: 818-972-0478 | |
Emma G. Boncaras, MFC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5535 Balboa Blvd, 206, Encino, CA 91316 Phone: 818-269-2887 | |
Mr. Greg Allen Steckler, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17337 Ventura Blvd Ste 314, Encino, CA 91316 Phone: 818-986-0795 | |
Hripsime Harutyunyan, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17777 Ventura Blvd Ste 105, Encino, CA 91316 Phone: 213-908-1234 | |
Samira Fahim, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5333 Balboa Blvd Apt 232, Encino, CA 91316 Phone: 310-430-6774 |