Organization
CHANGE WITHIN REACH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA GERSHELIS (PRESIDENT)
(213) 445-2266
Entity
Organization
Contact information
Practice address
17777 VENTURA BLVD STE 105, ENCINO, CA 91316
(213) 445-2266
(213) 908-1233
Mailing address
17777 VENTURA BLVD STE 105, ENCINO, CA 91316-3738
(213) 445-2266
(213) 908-1233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
LCSW28777
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285901942
—
CA
Enumeration date
02/11/2015
Last updated
04/26/2024
Update your record
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