| Island Mental Health Services Licensed Clinical Social Worker Pc | |
|
2881 Meadow Dr Lakeport CA 95453-9616 | |
| (707) 510-9330 | |
| Not Available |
| Full Name | Island Mental Health Services Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2881 Meadow Dr, Lakeport, California |
| Authorized Official Name and Position | Layla Hayes (PRESIDENT) |
| Authorized Official Contact | 7075109330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Mental Health Services Licensed Clinical Social Worker Pc 2881 Meadow Dr Lakeport CA 95453-9616 Ph: (707) 510-9330 | Island Mental Health Services Licensed Clinical Social Worker Pc 2881 Meadow Dr Lakeport CA 95453-9616 Ph: (707) 510-9330 |
| NPI Number | 1841153871 |
|---|---|
| Provider Enumeration Date | 12/05/2025 |
| Last Update Date | 12/05/2025 |
| Certification Date | 12/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841153871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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