| Natalie Montenegro Marriage And Family Therapy Inc | |
|
3166 E Palmdale Blvd Ste 104 Palmdale CA 93550-5029 | |
| (818) 272-5947 | |
| Not Available |
| Full Name | Natalie Montenegro Marriage And Family Therapy Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3166 E Palmdale Blvd Ste 104, Palmdale, California |
| Authorized Official Name and Position | Natalie Montenegro (OWNER) |
| Authorized Official Contact | 8182754957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalie Montenegro Marriage And Family Therapy Inc Po Box 900665 Palmdale CA 93590-0665 Ph: (818) 275-4957 | Natalie Montenegro Marriage And Family Therapy Inc 3166 E Palmdale Blvd Ste 104 Palmdale CA 93550-5029 Ph: (818) 272-5947 |
| NPI Number | 1386116028 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Medicare PECOS PAC ID | 1355861964 |
|---|---|
| Medicare Enrollment ID | O20250226003020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386116028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Natalie Montenegro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548423759 PECOS PAC ID: 3375063985 Enrollment ID: I20250304001571 |
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