Healthcare Provider Details
I. General information
NPI: 1821887738
Provider Name (Legal Business Name): CONNECTING PATHWAYS THERAPEUTIC PRESCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
121 LINDEN AVE # 102
LONG BEACH CA
90802-4990
US
IV. Provider business mailing address
2922 PACIFIC AVE
LONG BEACH CA
90806-1417
US
V. Phone/Fax
- Phone: 559-284-1872
- Fax: --
- Phone: 559-284-1872
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAWN-MARIE
LUNA
Title or Position: FOUNDER
Credential: LMFT
Phone: 559-284-1872