Clarvida

Organization Active NPI Professional Counselor · Mojave, CA

NPI 1477388262 · NPPES record last updated Sep 23, 2024

Key facts

NPI
1477388262
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
CLARVIDA
Practice address
16940 Highway 14 Ste C-J
Mojave, CA 93501-1238
Phone
(661) 524-5020
NPI assigned
Sep 3, 2024
Organization subpart
Yes
Parent organization (as reported)
PATHWAYS

Authorized official

Name
Brandi Lynne Marie Andreola, APCC
Title
Pre-Licensed Therapist
Phone
(760) 896-5713

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
Clarvida

Locations

16940 Highway 14
Ste Cj
Mojave, CA 93501
Phone (661) 824-5020

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X Yes

Addresses

Primary practice location

16940 Highway 14 Ste C-J
Mojave, CA 93501-1238

Mailing address

16940 Highway 14 Ste C-J
Mojave, CA 93501-1238
Phone (661) 524-5020

Other names

  • Pathways Former legal business name
  • Clarvida Other name

Other providers in Mojave, CA

All providers in Mojave, CA · Professional Counselor in California

Sources for this page

Verify at the official NPI Registry.