Healthcare Provider Details

I. General information

NPI: 1669003414
Provider Name (Legal Business Name): INWARD GROWTH COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 S RANDOLPH AVE STE 250
BREA CA
92821-5701
US

IV. Provider business mailing address

PO BOX 3276
ANAHEIM CA
92803-3276
US

V. Phone/Fax

Practice location:
  • Phone: 424-341-2597
  • Fax:
Mailing address:
  • Phone: 424-341-2597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY PHAN
Title or Position: CEO
Credential: LMFT
Phone: 424-441-2597