| Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc | |
|
12139 Mount Vernon Ave Ste 200a Grand Terrace CA 92313-5547 | |
| (951) 465-5812 | |
| (951) 346-5680 |
| Full Name | Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12139 Mount Vernon Ave Ste 200a, Grand Terrace, California |
| Authorized Official Name and Position | Zuelika C Xicotencatl (LCSW) |
| Authorized Official Contact | 9514655812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc 12139 Mount Vernon Ave Ste 200a Grand Terrace CA 92313-5547 Ph: (951) 465-5812 | Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc 12139 Mount Vernon Ave Ste 200a Grand Terrace CA 92313-5547 Ph: (951) 465-5812 |
| NPI Number | 1457948077 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 12/29/2020 |
| Certification Date | 12/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457948077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Wholeness Empowerment Group Licensed Clinical Social Worker, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22365 Barton Rd Ste 302, Grand Terrace, CA 92313 Phone: 909-649-6111 Fax: 877-602-0232 | |
Radiant Path Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12139 Mount Vernon Ave Ste 210, Grand Terrace, CA 92313 Phone: 951-205-2949 | |
Hildeir Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22737 Barton Rd, Suite 5, Grand Terrace, CA 92313 Phone: 909-370-4250 | |
Terra Vista Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12139 Mount Vernon Ave Ste 104, Grand Terrace, CA 92313 Phone: 909-452-5857 | |
Broadscope Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12139 Mount Vernon Ave Ste 101, Grand Terrace, CA 92313 Phone: 951-440-2730 | |
Breaking Cycles Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12139 Mount Vernon Ave Ste 105, Grand Terrace, CA 92313 Phone: 951-903-8022 |