| Childs Family Therapy Inc | |
|
4455 Murphy Canyon Rd Ste 100-67 San Diego CA 92123-4379 | |
| (858) 224-2658 | |
| (858) 723-7475 |
| Full Name | Childs Family Therapy Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4455 Murphy Canyon Rd Ste 100-67, San Diego, California |
| Authorized Official Name and Position | Myles Childs (CEO) |
| Authorized Official Contact | 8582242658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Childs Family Therapy Inc 4455 Murphy Canyon Rd Ste 100-67 San Diego CA 92123-4379 Ph: (858) 224-2658 | Childs Family Therapy Inc 4455 Murphy Canyon Rd Ste 100-67 San Diego CA 92123-4379 Ph: (858) 224-2658 |
| NPI Number | 1174386437 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/11/2025 |
| Medicare PECOS PAC ID | 8729521711 |
|---|---|
| Medicare Enrollment ID | O20240618004141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174386437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Myles Childs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285353912 PECOS PAC ID: 7911440904 Enrollment ID: I20240618004127 |
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