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Organization
SPIRIT LIFE CHURCH OF JESUS CHRIST
Active
Organization
SPIRIT LIFE CHURCH OF JESUS CHRIST
Active
Other names
SPIRIT LIFE CHURCH OF JESUS CHRIST
Organization subpart
No
Provider details
NPI number
Authorized official
TARYN TARVER (OWNER)
(805) 864-9046
Entity
Organization
Contact information
Practice address
1482 SINALOA RD, SIMI VALLEY, CA 93065-3031
(805) 864-9046
Mailing address
1482 SINALOA RD, SIMI VALLEY, CA 93065-3031
(805) 864-9046
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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