| Soul Practice Licensed Clinical Social Worker Pc | |
|
657 South Mcdonnell Ave East Los Angeles CA 90022 | |
| (800) 621-8119 | |
| (800) 621-8119 |
| Full Name | Soul Practice Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 657 South Mcdonnell Ave, East Los Angeles, California |
| Authorized Official Name and Position | Karla Gomez (OWNER) |
| Authorized Official Contact | 8006218119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Practice Licensed Clinical Social Worker Pc 1968 S Coast Hwy # 2987 Laguna Beach CA 92651-3681 Ph: (800) 621-8119 | Soul Practice Licensed Clinical Social Worker Pc 657 South Mcdonnell Ave East Los Angeles CA 90022 Ph: (800) 621-8119 |
| NPI Number | 1689471708 |
|---|---|
| Provider Enumeration Date | 02/26/2025 |
| Last Update Date | 02/26/2025 |
| Certification Date | 02/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689471708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Bienvenidos Children Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Atlantic Blvd, East Los Angeles, CA 90022 Phone: 323-268-5442 |