Look up the most recent NPI and PECOS records

Triumph Family Wellness Counseling Inc.

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3701 Stocker St Ste 102, View Park, CA 90008-5145

PECOS Enrollment

Based on the most recent information from CMS, provider Triumph Family Wellness Counseling Inc. does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1558999151
Provider Type
Organization
Full Name
Triumph Family Wellness Counseling Inc.

Subpart
No
Enumeration Date
3/30/2020
Last Updated
3/30/2020

Contact Information

Practice Location

3701 Stocker St Ste 102, View Park, CA 90008-5145

(424) 274-1283

Unlisted Fax

Mailing Location

1850 Whitley Ave Apt 301, Los Angeles, CA 90028-4991

(424) 274-1283

Unlisted Fax

Authorized Official

Sykes, Anthony Mario (Ceo)

(424) 273-1283

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 261QM0801X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer

Triumph Family Wellness Counseling Inc.

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Sepulveda, Nayeli Maritza

Daniels, Jessica Lee

Bentley, Mara

Florian, Jacqueline

Salaveria, Vincent

Sharp, Gabriella Leigh

Duarte, Kimberly

Alvarez, Jose Angel

Washington, Earlee Wanda

Marion, Dana Patrice