| Janz Family Therapy Incorporated | |
|
1357 W Shaw Ave Ste 100 Fresno CA 93711-3619 | |
| (559) 825-1205 | |
| Not Available |
| Full Name | Janz Family Therapy Incorporated |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1357 W Shaw Ave Ste 100, Fresno, California |
| Authorized Official Name and Position | Heather Walker Janz (OWNER) |
| Authorized Official Contact | 5598251205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janz Family Therapy Incorporated 2037 W Bullard Ave # 245 Fresno CA 93711-1200 Ph: (559) 786-8794 | Janz Family Therapy Incorporated 1357 W Shaw Ave Ste 100 Fresno CA 93711-3619 Ph: (559) 825-1205 |
| NPI Number | 1134682008 |
|---|---|
| Provider Enumeration Date | 04/09/2019 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Medicare PECOS PAC ID | 0547613135 |
|---|---|
| Medicare Enrollment ID | O20240131000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134682008 | NPI | - | NPPES |
| 578531 | Other | CA | MHN |
| 1659781391 | Medicaid | CA | |
| 1659781392 | Other | CA | ANTHEM MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Heather Walker Janz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659781391 PECOS PAC ID: 1456704048 Enrollment ID: I20240131000618 |
| Provider Name | Leah Sue Edwards |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619499845 PECOS PAC ID: 5890138127 Enrollment ID: I20240202004005 |
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