Healthcare Provider Details

I. General information

NPI: 1821482233
Provider Name (Legal Business Name): ACCESS HEALING COUNSELING AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2015
Last Update Date: 06/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5731 W SLAUSON AVE STE 220
CULVER CITY CA
90230-6597
US

IV. Provider business mailing address

5731 W SLAUSON AVE STE 220
CULVER CITY CA
90230-6597
US

V. Phone/Fax

Practice location:
  • Phone: 888-851-5595
  • Fax:
Mailing address:
  • Phone: 888-851-5595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: TERESITA BERNDES-CARLSON
Title or Position: OWNER/DIRECTOR
Credential: L.M.F.T.
Phone: 310-838-4403