Healthcare Provider Details

I. General information

NPI: 1619348356
Provider Name (Legal Business Name): ALTERNATIVE OPTIONS COUNSELING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2015
Last Update Date: 10/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19900 BEACH BLVD SUITE H
HUNTINGTON BEACH CA
92648-3761
US

IV. Provider business mailing address

17326 EDWARDS RD SUITE A115
CERRITOS CA
90703-2443
US

V. Phone/Fax

Practice location:
  • Phone: 877-538-4133
  • Fax: 657-845-3530
Mailing address:
  • Phone: 562-921-5701
  • Fax: 562-921-5703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. REBECCA ROSALES
Title or Position: EXECUTIVE DIRECTOR
Credential: MBA
Phone: 562-921-5701