| Black Mental Health Task Force | |
|
236 West Mountain Avenue Unit 103 Pasadena CA 91103 | |
| (323) 924-9084 | |
| (626) 313-3453 |
| Full Name | Black Mental Health Task Force |
|---|---|
| Speciality | Social Worker |
| Location | 236 West Mountain Avenue, Pasadena, California |
| Authorized Official Name and Position | Nakeya Tonisha Fields (FOUNDER/PRESIDENT) |
| Authorized Official Contact | 3239249084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Mental Health Task Force 530 South Lake Ave # 236 Suite 236 Pasadena CA 91101 Ph: (323) 924-9084 | Black Mental Health Task Force 236 West Mountain Avenue Unit 103 Pasadena CA 91103 Ph: (323) 924-9084 |
| NPI Number | 1528435419 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 8325346505 |
|---|---|
| Medicare Enrollment ID | O20160421001117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528435419 | NPI | - | NPPES |
| CB253110 | Other | CA | PTAN |
| Provider Name | Nakeya T Fields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700021409 PECOS PAC ID: 8325341498 Enrollment ID: I20160122001931 |
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