Healthcare Provider Details

I. General information

NPI: 1093610388
Provider Name (Legal Business Name): SOCAL COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 BRIARWOOD LN
ALISO VIEJO CA
92656-2963
US

IV. Provider business mailing address

83 BRIARWOOD LN
ALISO VIEJO CA
92656-2963
US

V. Phone/Fax

Practice location:
  • Phone: 949-228-1382
  • Fax: 949-269-7924
Mailing address:
  • Phone: 949-228-1382
  • Fax: 949-269-7924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANAHITA SAADATIFARD
Title or Position: OWNER
Credential: LCSW
Phone: 949-228-1382