Organization
ANIYA JAY INC
Active
Other names
Emerge Psychotherapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA DIXON LMFT (CEO/CLINICAL DIRECTOR)
(626) 625-5234
Entity
Organization
Contact information
Practice address
61 S BALDWIN AVE # 1475, SIERRA MADRE, CA 91024-2553
(626) 625-5234
Mailing address
61 S BALDWIN AVE # 1475, SIERRA MADRE, CA 91024-2553
(626) 625-5234
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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