| Pro Psych Services Inc | |
|
850 Colorado Blvd Ste 203 Eagle Rock CA 90041-1733 | |
| (818) 821-6012 | |
| (818) 821-6014 |
| Full Name | Pro Psych Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 850 Colorado Blvd Ste 203, Eagle Rock, California |
| Authorized Official Name and Position | Jacquelyn Anderson (OFFICE) |
| Authorized Official Contact | 8189154346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Psych Services Inc 12501 Chandler Blvd Ste 102 Valley Village CA 91607-1955 Ph: (818) 821-6012 | Pro Psych Services Inc 850 Colorado Blvd Ste 203 Eagle Rock CA 90041-1733 Ph: (818) 821-6012 |
| NPI Number | 1831680008 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831680008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Elevate Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Colorado Blvd, Suite 101, Eagle Rock, CA 90041 Phone: 714-745-3300 | |
Brain Wave Psychological Neurotherapy Associates Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Colorado Blvd 203, Eagle Rock, CA 90041 Phone: 818-821-6012 Fax: 818-821-6014 |