| Mending Souls | |
|
1010 N Central Ave # 310 Glendale CA 91202 | |
| (818) 724-9770 | |
| (818) 484-2991 |
| Full Name | Mending Souls |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1010 N Central Ave # 310, Glendale, California |
| Authorized Official Name and Position | Lilit Zilifyan (MFT) |
| Authorized Official Contact | 8187249770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Souls 1010 N Central Ave # 310 Glendale CA 91202-2937 Ph: (818) 724-9770 | Mending Souls 1010 N Central Ave # 310 Glendale CA 91202 Ph: (818) 724-9770 |
| NPI Number | 1023551744 |
|---|---|
| Provider Enumeration Date | 11/29/2016 |
| Last Update Date | 12/17/2018 |
| Medicare PECOS PAC ID | 8527410604 |
|---|---|
| Medicare Enrollment ID | O20240115001400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023551744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Lilit Zilifyan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730422270 PECOS PAC ID: 9133571219 Enrollment ID: I20240125003717 |
| Provider Name | Sarine Davityan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659518785 PECOS PAC ID: 1951753037 Enrollment ID: I20240208000981 |
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