| The Endzone, A Marriage And Family Therapy Corporation | |
|
700 N Central Ave Ste 340 Glendale CA 91203-4238 | |
| (818) 275-8411 | |
| Not Available |
| Full Name | The Endzone, A Marriage And Family Therapy Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 N Central Ave Ste 340, Glendale, California |
| Authorized Official Name and Position | Cynthia E Stern (OWNER/LMFT) |
| Authorized Official Contact | 8182758411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Endzone, A Marriage And Family Therapy Corporation 9018 Balboa Blvd # 605 Northridge CA 91325-2610 Ph: (818) 275-8411 | The Endzone, A Marriage And Family Therapy Corporation 700 N Central Ave Ste 340 Glendale CA 91203-4238 Ph: (818) 275-8411 |
| NPI Number | 1437831799 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Medicare PECOS PAC ID | 3375988397 |
|---|---|
| Medicare Enrollment ID | O20240229003132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437831799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cynthia Erica Stern |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891152070 PECOS PAC ID: 8729423744 Enrollment ID: I20240229003282 |
| Provider Name | Katie M Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518406362 PECOS PAC ID: 1153861414 Enrollment ID: I20240912003852 |
| Provider Name | Nicholas Joseph Thorn-sermeno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710106356 PECOS PAC ID: 2567871569 Enrollment ID: I20250213000751 |
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