Healthcare Provider Details

I. General information

NPI: 1356477285
Provider Name (Legal Business Name): STARVIEW COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 W. VICTORIA STREET
COMPTON CA
90220
US

IV. Provider business mailing address

2850 HYANS ST
LOS ANGELES CA
90026-4624
US

V. Phone/Fax

Practice location:
  • Phone: 310-868-5379
  • Fax: 310-868-5397
Mailing address:
  • Phone: 213-386-5759
  • 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: MARISELA BRAZFIELD
Title or Position: WRAP AROUND FACILITATOR
Credential: M.A.
Phone: 323-384-2126