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Organization
EVO HEALTH AND WELLNESS, LLC
Active
Organization
EVO HEALTH AND WELLNESS, LLC
Active
Other names
Sanyama Behavioral and Mental Health, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOOROSH RASSEKH MFFT (MANAGING MEMBER)
(310) 205-6991
Entity
Organization
Contact information
Practice address
340 SUNSET AVE, VENICE, CA 90291-2632
(210) 246-4756
Mailing address
340 SUNSET AVE, VENICE, CA 90291-2632
(210) 246-4756
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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