Grines, Ilana Laura
Grines, Ilana Laura is an sole proprietor health care provider with primary practice located at 2831 Bristol St Apt 210 , Costa Mesa CA 92626-5983. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Grines, Ilana Laura can be contacted via phone (323) 717-9816.Contact Information
Primary practice address
2831 Bristol St Apt 210
Costa Mesa CA 92626-5983
Phone: (323) 717-9816
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 101YS0200X | 180061042 | California |
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 116296 | California |
Profile Details
NPI number | 1861813727 |
---|---|
LBN Legal business name | Grines, Ilana Laura |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 19th, 2013 |
Last updated | May 18th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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