Organization
SEASONS RECOVERY BILLING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA SHILATI PSY.D. (CHIEF OPERATING OFFICER)
(424) 234-2060
Entity
Organization
Contact information
Practice address
30245 PACIFIC COAST HWY, MALIBU, CA 90265-3603
(800) 990-0340
(954) 337-0364
Mailing address
1801 W. OLYMPIC BLVD, FILE 1441, PASADENA, CA 91199
(800) 990-0340
(954) 337-0364
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
171100000X
Acupuncturist
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
06/10/2011
Last updated
05/03/2012
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