MEDICARE: CHILD AND FAMILY GUIDANCE CENTER

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	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427193739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILD AND FAMILY GUIDANCE CENTER

Provider Business Mailing Address
First Line	:	6851 LENNOX AVE
Second Line	:	SUITES 100 & 200
City	:	VAN NUYS
State	:	CA
Zip	:	91405-4073
Country	:	US
Telephone Number	:	818-739-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	6851 LENNOX AVE
Second Line	:	SUITES 100 & 200
City	:	VAN NUYS
State	:	CA
Zip	:	91405-4073
Country	:	US
Telephone Number	:	818-739-5400
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	DR. KATHLEEN ELIZABETH WELCH-TORRES
Credential	:	PH.D.
Telephone Number	:	818-739-5148

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	04/19/2023

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Directions to “CHILD AND FAMILY GUIDANCE CENTER ” Practice Location

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