| Bespoke Therapy Inc | |
|
1300 N Laurel Ave Apt 17 West Hollywood CA 90046-4613 | |
| (646) 374-2827 | |
| Not Available |
| Full Name | Bespoke Therapy Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1300 N Laurel Ave Apt 17, West Hollywood, California |
| Authorized Official Name and Position | Jack Hazan (OWNER) |
| Authorized Official Contact | 9174539306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bespoke Therapy Inc 401 W 25th St Apt 13c New York NY 10001-6575 Ph: () - | Bespoke Therapy Inc 1300 N Laurel Ave Apt 17 West Hollywood CA 90046-4613 Ph: (646) 374-2827 |
| NPI Number | 1003600933 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 04/07/2025 |
| Certification Date | 04/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003600933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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