NPI | 1407596240 |
---|---|
Doing Business As | INNER BEACON THERAPY |
Entity Type | Organization |
Authorized Contact | LEAH LOUISE LOPETEGUY-HOFFMAN Owner 661-412-4291 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2022-03-30 |
Last Update Date | 2025-01-15 |