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Organization
EMPOWER BRIGHT MINDS PSYCHOLOGY
Active
Organization
EMPOWER BRIGHT MINDS PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEGONIA WESLOW (CHIEF EXECUTIVE OFFICER)
(818) 534-6158
Entity
Organization
Contact information
Practice address
356 BRIDLEWOOD LN, FILLMORE, CA 93015-2142
(818) 534-6158
Mailing address
356 BRIDLEWOOD LN, FILLMORE, CA 93015-2142
(818) 534-6158
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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