Organization
MPOWER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACI MINTZ PSYCHOLOGIST (DIRECTOR)
(818) 968-1215
Entity
Organization
Contact information
Practice address
6345 VICTORY BLVD, STE 212, ENCINO, CA 91316
(818) 968-1215
Mailing address
6345 BALBOA BLVD, STE 212, ENCINO, CA 91316
(818) 968-1215
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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