Healthcare Provider Details

I. General information

NPI: 1376432344
Provider Name (Legal Business Name): LET'S UNPACK THERAPY GROUP, LICENSED CLINICAL SOCIAL WORKER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 LONG BEACH BLVD STE 300
LONG BEACH CA
90807-3350
US

IV. Provider business mailing address

2371 GRAND AVE UNIT 92483
LONG BEACH CA
90809-6086
US

V. Phone/Fax

Practice location:
  • Phone: 310-847-0043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARA GRACIELA PERAL
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 310-847-0043