| Beneath the Surface Therapy | |
|
78150 Calle Tampico Ste 200i La Quinta CA 92253 | |
| (760) 836-6292 | |
| (760) 369-7352 |
| Full Name | Beneath the Surface Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 78150 Calle Tampico, La Quinta, California |
| Authorized Official Name and Position | Jillian Cozete Ellison (FOUNDER AND CLINICAL DIRECTOR) |
| Authorized Official Contact | 7608366292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beneath the Surface Therapy 78150 Calle Tampico Ste 200i La Quinta CA 92253 Ph: (760) 836-6292 | Beneath the Surface Therapy 78150 Calle Tampico Ste 200i La Quinta CA 92253 Ph: (760) 836-6292 |
| NPI Number | 1467335687 |
|---|---|
| Provider Enumeration Date | 07/26/2025 |
| Last Update Date | 07/28/2025 |
| Certification Date | 07/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467335687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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