Healthcare Provider Details

I. General information

NPI: 1417808247
Provider Name (Legal Business Name): CAREPATHY FAMILY COUNSELING PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2766 FOREMAN AVE
LONG BEACH CA
90815-1141
US

IV. Provider business mailing address

2766 FOREMAN AVE
LONG BEACH CA
90815-1141
US

V. Phone/Fax

Practice location:
  • Phone: 213-935-0829
  • Fax:
Mailing address:
  • Phone: 213-935-0829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MILLICENT ROSE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: EDD, LMFT
Phone: 818-919-5966