| The Therapy Place | |
|
107 Figueroa St Unit A Ventura CA 93001-2756 | |
| (805) 444-8787 | |
| Not Available |
| Full Name | The Therapy Place |
|---|---|
| Speciality | Social Worker |
| Location | 107 Figueroa St, Ventura, California |
| Authorized Official Name and Position | Stephanie Thurston (SOLE MEMBER) |
| Authorized Official Contact | 8054448787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Therapy Place Po Box 1648 Ventura CA 93002-1648 Ph: (805) 444-8787 | The Therapy Place 107 Figueroa St Unit A Ventura CA 93001-2756 Ph: (805) 444-8787 |
| NPI Number | 1588098370 |
|---|---|
| Provider Enumeration Date | 08/28/2013 |
| Last Update Date | 12/10/2023 |
| Certification Date | 12/10/2023 |
| Medicare PECOS PAC ID | 2466801881 |
|---|---|
| Medicare Enrollment ID | O20231211003284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588098370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22417 (California) | Primary |
| Provider Name | Stephanie L Thurston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750648523 PECOS PAC ID: 3375992795 Enrollment ID: I20231211003315 |
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