Provider Demographics
NPI:1942912167
Name:INHALE EXHALE BY MA AND SHAMMAS PSYCHOTHERAPY GROUP
Entity Type:Organization
Organization Name:INHALE EXHALE BY MA AND SHAMMAS PSYCHOTHERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZETH
Authorized Official - Middle Name:VARONICA
Authorized Official - Last Name:MA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:619-321-7635
Mailing Address - Street 1:310 THIRD AVE STE C23
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-3955
Mailing Address - Country:US
Mailing Address - Phone:858-255-0372
Mailing Address - Fax:
Practice Address - Street 1:310 THIRD AVE STE C23
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-3955
Practice Address - Country:US
Practice Address - Phone:858-255-0372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty