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NPI 1598482184

NPI 1598482184 : TENNYSON, INC. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1598482184
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    Entity Type          |    Organization 
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    Legal Business Name  |    TENNYSON, INC. 
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Dates
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    Enumeration Date     |    10/24/2022
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    835 WILSHIRE BLVD STE 500 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90017-2656
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    Country              |    US
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    Telephone            |    424-403-0363
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    835 WILSHIRE BLVD STE 500 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90017-2656
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    Country              |    US
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    Telephone            |    424-403-0363
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. JENNA  TENNYSON 
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    Credential           |    
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    Telephone            |    626-205-7086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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