Healthcare Provider Details

I. General information

NPI: 1013820299
Provider Name (Legal Business Name): NAOMI ZELIN, PROFESSIONAL CLINICAL COUNSELOR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 PACIFIC COAST HWY
HERMOSA BEACH CA
90254-2225
US

IV. Provider business mailing address

440 N BARRANCA AVE # 2246
COVINA CA
91723-1722
US

V. Phone/Fax

Practice location:
  • Phone: 310-421-2771
  • Fax:
Mailing address:
  • Phone: 310-421-2771
  • Fax:

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: NAOMI S ZELIN
Title or Position: CEO/FOUNDER
Credential: LPCC
Phone: 310-421-2771