| Mrs Raechele Kenyon-diaz, LMFT | |
|
100 Phillips Dr, Sausalito, CA 94965-1172 | |
| (415) 339-8813 | |
| (415) 339-8814 |
| Full Name | Mrs Raechele Kenyon-diaz |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 7 Years |
| Location | 100 Phillips Dr, Sausalito, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477093672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 140052 (California) | Primary |
| 164X00000X | Licensed Vocational Nurse | VN256371 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marin City Health And Wellness Center | 1052451259 | 9 |
| Entity Name | Marin City Health and Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285804948 PECOS PAC ID: 1052451259 Enrollment ID: O20091221000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Raechele Kenyon-diaz, LMFT 100 Phillips Dr, Sausalito, CA 94965-1172 Ph: (415) 339-8813 | Mrs Raechele Kenyon-diaz, LMFT 100 Phillips Dr, Sausalito, CA 94965-1172 Ph: (415) 339-8813 |
Sophie Lartilleux-suberville, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 630 Drake Ave, Sausalito, CA 94965 Phone: 415-383-2073 |
Ms. Norma Darshan Brach, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 112 Marion Ave, Sausalito, CA 94965 Phone: 415-992-1704 |
Ms. Jennifer Caplan, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9a Marion Ave, Sausalito, CA 94965 Phone: 415-515-9510 |
Blythe Friedmann, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6 Liberty Dock, Sausalito, CA 94965 Phone: 415-601-7114 |
Mr. John Mayer Oppenheimer, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 34 Cazneau Ave, Sausalito, CA 94965 Phone: 415-717-1313 |
Peter Van Auken, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3030 Bridgeway Ste 234, Sausalito, CA 94965 Phone: 415-265-5167 |
Lindsay Caspi, MA, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1001 Bridgeway # 633, Sausalito, CA 94965 Phone: 917-300-8443 |