NPI | 1003695362 |
---|---|
Former Legal Business Name | WEEKEND THERAPY L.L.C. |
Entity Type | Organization |
Authorized Contact | JOHN ARIES BENNETT Practice Manager 805-225-4446 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist | |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2023-09-26 |
Last Update Date | 2025-08-27 |