CARLY ANN WADE (NPI# 1851733059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851733059 |
| Entity Type | Individual |
| Full Name | CARLY ANN WADE |
| Credential | MFTI |
| Practice Address |
12755 Brookhurst St. Ste 116 Garden Grove CA 92840 |
| Mailing Address |
12755 Brookhurst St # Te116 Garden Grove CA 92840-4857 |
| Practice Telephone | 7146388277 |
| Mailing Telephone | 7146388277 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538643366 | Carly Wade | Social Worker | 6851 Lennox Ave Ste 100, Van Nuys, CA 91405-4076 | 2018-09-18 |
| Street Address |
12755 BROOKHURST ST. STE 116 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| 1871878843 | Thu Anh Do | Pharmacist | 12002 Harbor Blvd., Garden Grove, CA 92840 | 2011-10-20 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311187 | Jessica Marin Tovar | Marriage & Family Therapist | 12413 Rock Springs Ct, Garden Grove, CA 92843-4147 | 2020-09-22 |
| 1447870639 | Guardian Angel Family Counseling PC | Marriage & Family Therapist | 12371 Lewis St Ste 103, Garden Grove, CA 92840-4687 | 2020-04-17 |
| 1174082705 | Corinne Raskind | Marriage & Family Therapist | 12842 Valley View St Ste 202, Garden Grove, CA 92845-2517 | 2019-03-13 |
| 1780133934 | Rebecca Bokoch | Marriage & Family Therapist | 10540 Chapman Ave, Garden Grove, CA 92840-3101 | 2016-09-29 |
| 1508218678 | Deborah Roe | Marriage & Family Therapist | 12900 Garden Grove Blvd # A214, Garden Grove, CA 92843-2006 | 2016-07-12 |
| 1699124149 | Lanh Truong | Marriage & Family Therapist | 12755 Brookhurst St Ste 116205, Garden Grove, CA 92840-4857 | 2016-06-06 |
| 1093198012 | Maria Pilar Gomez Marmolejo | Marriage & Family Therapist | 11311 Jerry Ln, Garden Grove, CA 92840-3447 | 2015-07-08 |
| 1669870077 | Mai Tran | Marriage & Family Therapist | 12900 Garden Grove Blvd Ste B225, Garden Grove, CA 92843-2040 | 2014-12-17 |
| 1134530678 | Jennifer Craft | Marriage & Family Therapist | 13071 Birchwood St, Garden Grove, CA 92843-1321 | 2014-05-19 |
| 1295158855 | Saida Julissa Cadena | Marriage & Family Therapist | 13210 Harbor Blvd # 248, Garden Grove, CA 92843-1737 | 2014-01-31 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
Please comment or provide details below to improve the information on CARLY ANN WADE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.