Healthcare Provider Details
I. General information
NPI: 1255047445
Provider Name (Legal Business Name): UNDERSTANDING NEEDED INTEGRATION, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
637 E ALBERTONI ST STE 110
CARSON CA
90746-1543
US
IV. Provider business mailing address
637 E ALBERTONI ST STE 110
CARSON CA
90746-1543
US
V. Phone/Fax
- Phone: 424-292-3726
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Psychologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TM1800X |
| Taxonomy | Intellectual & Developmental Disabilities Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DELAWRENCE
GRANT
Title or Position: CEO
Credential:
Phone: 424-292-3726