| Mariah Dennis, | |
|
760 Mountain View St, Altadena, CA 91001-4925 | |
| (323) 681-4827 | |
| Not Available |
| Full Name | Mariah Dennis |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 760 Mountain View St, Altadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285144253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 101917 (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 |
|---|---|
| Mariah Dennis, 1917 Modjeska St, Los Angeles, CA 90039-3732 Ph: () - | Mariah Dennis, 760 Mountain View St, Altadena, CA 91001-4925 Ph: (323) 681-4827 |
Jennifer Medina Vaughn, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 760 Mountain View St, Altadena, CA 91001 Phone: 626-798-6793 | |
Anita Lehmann Sorenson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1204 New York Drive, Altadena, CA 91001 Phone: 626-796-9300 | |
Aida Judith Enciso, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 760 Mountain View St, Altadena, CA 91001 Phone: 626-798-6793 | |
Valeria Lindenfeld, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3326 Raymond Ave, Altadena, CA 91001 Phone: 818-209-8781 | |
Vida Khavar, M.A., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 760 Mountain View St, Altadena, CA 91001 Phone: 626-246-1757 | |
Regina Marie Bette, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 760 Mountain View St, Altadena, CA 91001 Phone: 626-798-6793 | |
Ms. Brooke Nisen, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 183 E Palm St, Altadena, CA 91001 Phone: 626-798-7222 |