Healthcare Provider Details

I. General information

NPI: 1518514215
Provider Name (Legal Business Name): COUNSELING4KIDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2019
Last Update Date: 08/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9377 VENA AVE
ARLETA CA
91331-4733
US

IV. Provider business mailing address

9377 VENA AVE
ARLETA CA
91331-4733
US

V. Phone/Fax

Practice location:
  • Phone: 818-441-7800
  • Fax:
Mailing address:
  • Phone: 818-441-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KYUNG-HWA KATHLEEN KIM
Title or Position: CHIEF COMPLIANCE & QUALITY OFFICER
Credential: LMFT
Phone: 818-723-8286