| Hygieia Behavioral Health Foundation Inc. | |
|
5150 Candlewood St Ste 18j Lakewood CA 90712-1928 | |
| (562) 965-1489 | |
| Not Available |
| Full Name | Hygieia Behavioral Health Foundation Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5150 Candlewood St Ste 18j, Lakewood, California |
| Authorized Official Name and Position | Sade Thompson (PRESIDENT) |
| Authorized Official Contact | 3233487115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hygieia Behavioral Health Foundation Inc. 5150 Candlewood St Ste 18j Lakewood CA 90712-1928 Ph: (562) 965-1489 | Hygieia Behavioral Health Foundation Inc. 5150 Candlewood St Ste 18j Lakewood CA 90712-1928 Ph: (562) 965-1489 |
| NPI Number | 1356122378 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 7719426840 |
|---|---|
| Medicare Enrollment ID | O20240903002241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356122378 | NPI | - | NPPES |
| Provider Name | Sade Monique Thompson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295285989 PECOS PAC ID: 8628517752 Enrollment ID: I20240904004068 |
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