Healthcare Provider Details
I. General information
NPI: 1790571214
Provider Name (Legal Business Name): CHILD & FAMILY STEPS A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/21/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9461 CHARLEVILLE BLVD STE 334
BEVERLY HILLS CA
90212-3017
US
IV. Provider business mailing address
9461 CHARLEVILLE BLVD STE 334
BEVERLY HILLS CA
90212-3017
US
V. Phone/Fax
- Phone: 310-363-0026
- Fax:
- Phone: 310-363-0026
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HOLLY
PAYMON
Title or Position: CEO/OWNER
Credential: PHD
Phone: 310-363-0026