| Guided Growth Therapy Group | |
|
1603 California Ave Ste 137 Bakersfield CA 93304-1346 | |
| (661) 404-4123 | |
| Not Available |
| Full Name | Guided Growth Therapy Group |
|---|---|
| Speciality | Psychologist |
| Location | 1603 California Ave Ste 137, Bakersfield, California |
| Authorized Official Name and Position | Kimberly Cobbs (OFFICE MANAGER/PARTNER) |
| Authorized Official Contact | 6616193193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guided Growth Therapy Group 10900 Artist Ct Bakersfield CA 93312-2879 Ph: (661) 619-3193 | Guided Growth Therapy Group 1603 California Ave Ste 137 Bakersfield CA 93304-1346 Ph: (661) 404-4123 |
| NPI Number | 1912766841 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Medicare PECOS PAC ID | 9739521725 |
|---|---|
| Medicare Enrollment ID | O20241118000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912766841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Julie Vong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780934117 PECOS PAC ID: 8022442011 Enrollment ID: I20191227002212 |
| Provider Name | Tara Sue Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093981524 PECOS PAC ID: 1052767555 Enrollment ID: I20231019000862 |
| Provider Name | Cherish Lynn Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770617888 PECOS PAC ID: 2466805213 Enrollment ID: I20240128000244 |
| Provider Name | Linh Vinh Chi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538449962 PECOS PAC ID: 7517495997 Enrollment ID: I20250113002941 |
| Provider Name | Janet Herrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841749785 PECOS PAC ID: 9133657406 Enrollment ID: I20250114003407 |
| Provider Name | Angelo Colaiacovo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003428558 PECOS PAC ID: 5799213849 Enrollment ID: I20250116003157 |
| Provider Name | Erica Ballesteros |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912036070 PECOS PAC ID: 4688103468 Enrollment ID: I20250123001195 |
| Provider Name | Robyn D Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770863144 PECOS PAC ID: 3971023599 Enrollment ID: I20250225003472 |
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