Healthcare Provider Details

I. General information

NPI: 1538972120
Provider Name (Legal Business Name): RIGHT PLACE COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 MAIN ST STE 2
EL SEGUNDO CA
90245-3065
US

IV. Provider business mailing address

10381 ALMAYO AVE APT 4
LOS ANGELES CA
90064-2623
US

V. Phone/Fax

Practice location:
  • Phone: 646-283-3492
  • Fax:
Mailing address:
  • Phone: 646-283-3492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. THOMAS J ANDRE
Title or Position: OWNER
Credential: LMFT
Phone: 646-283-3492