Healthcare Provider Details

I. General information

NPI: 1629809579
Provider Name (Legal Business Name): PARENTS ANONYMOUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2024
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 YALE AVE
CLAREMONT CA
91711-4340
US

IV. Provider business mailing address

435 YALE AVE
CLAREMONT CA
91711-4340
US

V. Phone/Fax

Practice location:
  • Phone: 909-510-0967
  • Fax: 909-621-0614
Mailing address:
  • Phone: 909-575-4211
  • Fax: 909-621-0614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. LISA PION-BERLIN
Title or Position: PRESIDENT & CEO
Credential:
Phone: 909-575-4211