| The Whole Soul Counseling | |
|
4125 Temescal St Ste A Fair Oaks CA 95628-7558 | |
| (916) 877-6894 | |
| Not Available |
| Full Name | The Whole Soul Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 4125 Temescal St Ste A, Fair Oaks, California |
| Authorized Official Name and Position | Lauren Kristina Mahakian (DIRECTOR) |
| Authorized Official Contact | 9168776894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Whole Soul Counseling 4005 Manzanita Avenue Suite 6, #434 Carmichael CA 95608 Ph: () - | The Whole Soul Counseling 4125 Temescal St Ste A Fair Oaks CA 95628-7558 Ph: (916) 877-6894 |
| NPI Number | 1700383718 |
|---|---|
| Provider Enumeration Date | 04/07/2018 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Medicare PECOS PAC ID | 9537527957 |
|---|---|
| Medicare Enrollment ID | O20230616001415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700383718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 82146 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lauren Kristina Mahakian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306218862 PECOS PAC ID: 8921347493 Enrollment ID: I20190227001769 |
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