Basic Information
| Provider Information | |||||||||
| NPI: | 1245892637 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEALING RHYTHMS MENTAL HEALTH, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 521 1/2 S MYRTLE AVE STE 910 | ||||||||
| Address2: | |||||||||
| City: | MONROVIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 910165189 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6269408670 | ||||||||
| FaxNumber: | 5628695376 | ||||||||
| Practice Location | |||||||||
| Address1: | 521 1/2 S MYRTLE AVE STE 910 | ||||||||
| Address2: | |||||||||
| City: | MONROVIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 910165189 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6269408670 | ||||||||
| FaxNumber: | 5628695376 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2019 | ||||||||
| LastUpdateDate: | 07/05/2019 | ||||||||
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| AuthorizedOfficialLastName: | BRAGANZA | ||||||||
| AuthorizedOfficialFirstName: | JENNY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTAILING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 5624034422 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0801X | N | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | 103TC0700X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.