| Kellett Tighe, | |
|
482 S El Molino Ave, Pasadena, CA 91101-3451 | |
| (626) 449-6999 | |
| (626) 449-6999 |
| Full Name | Kellett Tighe |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 482 S El Molino Ave, Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194323402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 135129 (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 |
|---|---|
| Kellett Tighe, 482 S El Molino Ave, Pasadena, CA 91101-3451 Ph: (626) 449-6999 | Kellett Tighe, 482 S El Molino Ave, Pasadena, CA 91101-3451 Ph: (626) 449-6999 |
Miss Lizeth Christine Fonseca, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3280 E Foothill Blvd, Pasadena, CA 91107 Phone: 626-583-3963 |
Ms. Elisabeth Cavin Eilers, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 446 S Marengo Ave, Suite B, Pasadena, CA 91101 Phone: 626-375-8140 Fax: 626-403-9333 |
Jennifer Beckwith, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 210 S De Lacey Ave, Pasadena, CA 91105 Phone: 626-395-7100 |
Ms. Katherine Marie Flores, M.S. MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 350 S Lake Ave, Suite 284b, Pasadena, CA 91101 Phone: 626-689-0459 |
Marni Muenzer, Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 100 W Walnut St Ste 375, Pasadena, CA 91124 Phone: 626-395-7100 |
Christian Hernandez, MS Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 52 S Grand Oaks Ave, Pasadena, CA 91107 Phone: 323-420-1785 |
Aurelie Anne Marie Zephir, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2750 E Washington Blvd, Pasadena, CA 91107 Phone: 626-296-8900 |