| Little Spirits Llc | |
|
77 N Almaden Ave Ste #102 San Jose CA 95110 | |
| (917) 612-0673 | |
| (408) 606-9449 |
| Full Name | Little Spirits Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 77 N Almaden Ave, San Jose, California |
| Authorized Official Name and Position | Cathy Venezia (BEHAVIOR THERAPIST) |
| Authorized Official Contact | 9176120673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Spirits Llc 77 N Almaden Ave Apt 102 San Jose CA 95110-2776 Ph: (917) 612-0673 | Little Spirits Llc 77 N Almaden Ave Ste #102 San Jose CA 95110 Ph: (917) 612-0673 |
| NPI Number | 1194374827 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 12/06/2022 |
| Certification Date | 12/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194374827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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