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General NPI Number Information
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NPI Number | 1578496816
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Entity Type | Organization
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Legal Business Name | MATERNAL MENTAL HEALTH NOW
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 11980 SAN VICENTE BLVD STE 909
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City | LOS ANGELES
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State | CA
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Zip | 90049-6607
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Country | US
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Telephone | 646-704-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 1308 E COLORADO BLVD UNIT 3203
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City | PASADENA
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State | CA
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Zip | 91106-1932
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Country | US
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Telephone | 646-704-2688
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KELLY O'CONNOR KAY
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Credential |
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Telephone | 646-704-2688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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