| Heyday Family Counseling Services Apc Inc | |
|
1121 San Rafael Ave Apt 2 Glendale CA 91202-2438 | |
| (818) 497-8406 | |
| Not Available |
| Full Name | Heyday Family Counseling Services Apc Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1121 San Rafael Ave Apt 2, Glendale, California |
| Authorized Official Name and Position | Shushan Vartani Kalantaryan (CEO) |
| Authorized Official Contact | 8184978406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heyday Family Counseling Services Apc Inc 1146 N Central Ave Ste 621 Glendale CA 91202-2506 Ph: (818) 497-8406 | Heyday Family Counseling Services Apc Inc 1121 San Rafael Ave Apt 2 Glendale CA 91202-2438 Ph: (818) 497-8406 |
| NPI Number | 1871101402 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 03/11/2021 |
| Certification Date | 03/11/2021 |
| Medicare PECOS PAC ID | 9234575655 |
|---|---|
| Medicare Enrollment ID | O20240307003591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871101402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Shushan V Kalantaryan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144674128 PECOS PAC ID: 0143666560 Enrollment ID: I20240308002327 |
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