Healthcare Provider Details

I. General information

NPI: 1265576912
Provider Name (Legal Business Name): KINGS VIEW COUNSELING SERVICES FOR KINGS COUNT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 08/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 DAIRY AVENUE
CORCORAN CA
93212
US

IV. Provider business mailing address

1393 BAILEY DRIVE
HANFORD CA
93230
US

V. Phone/Fax

Practice location:
  • Phone: 559-582-4481
  • Fax: 559-582-6547
Mailing address:
  • Phone: 559-582-4481
  • Fax: 559-582-6547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRENDA JOHNSON-HILL
Title or Position: EXECUTIVE DIRECTOR
Credential: L.M.F.T.
Phone: 559-582-4481