MEDICARE: SOCIAL COACHING CLUB INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	49485	CA

General Provider Information

NPI Number	:	1144639253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOCIAL COACHING CLUB INC.

Provider Business Mailing Address
First Line	:	5353 TOPANGA CANYON BLVD
Second Line	:	SUITE 209
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-1737
Country	:	US
Telephone Number	:	818-379-3340
Fax Number	:

Provider Business Practice Location Address
First Line	:	5353 TOPANGA CANYON BLVD
Second Line	:	SUITE 209
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-1737
Country	:	US
Telephone Number	:	818-379-3340
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	SAMANTHA HEIDEN BLANK
Credential	:	M.S.
Telephone Number	:	818-379-3340

Provider Enumeration Date	:	08/04/2014
Last Update Date	:	08/04/2014

Similar Medicare Providers

1699795765 — DR. JAMES PAUL LANGFORD JR. D.C.
Practice Location Address:

5353 TOPANGA CANYON BLVD , SUITE 225
WOODLAND HILLS, CA
91364-1737

Practice Phone: 818-674-1200
Practice Fax: 818-337-0357

1811092596 — THOR-ALCYONE L REYES MD
Practice Location Address:

5353 TOPANGA CANYON BLVD , SUITE 100
WOODLAND HILLS, CA
91364-1737

Practice Phone: 818-704-1579
Practice Fax: 818-704-8790

1417080060 — LINDA READ SHELBY L.AC.
Practice Location Address:

5353 TOPANGA CANYON BLVD , 209
WOODLAND HILLS, CA
91364-1737

Practice Phone: 818-888-8115
Practice Fax:

1528399482 — THERAPEUTIC LIVINGS CENTERS FOR THE BLIND, INC.
Practice Location Address:

7355 SHOUP AVE
WEST HILLS, CA
91307-1737

Practice Phone: 818-708-1740
Practice Fax: 818-708-7899

1245657444 — MICHAEL C BOSWORTH MD
Practice Location Address:

1 WASHINGTON ST STE 401
WELLESLEY HILLS, MA
02481-1737

Practice Phone: 814-163-5007
Practice Fax: 781-416-3505

1174054001 — REBECCA DROMS MD
Practice Location Address:

1 WASHINGTON ST STE 401
WELLESLEY HILLS, MA
02481-1737

Practice Phone: 781-416-3500
Practice Fax:

Directions to “SOCIAL COACHING CLUB INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.