Healthcare Provider Details

I. General information

NPI: 1124599444
Provider Name (Legal Business Name): HELPLINE YOUTH COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2018
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 LONG BEACH BLVD STE 210
LONG BEACH CA
90807-6017
US

IV. Provider business mailing address

14181 TELEGRAPH RD
WHITTIER CA
90604-2554
US

V. Phone/Fax

Practice location:
  • Phone: 562-273-0722
  • Fax:
Mailing address:
  • Phone: 562-273-0722
  • Fax: 562-946-3641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH ADRIAN CHAVEZ
Title or Position: DIRECTOR OF PROGRAMS
Credential:
Phone: 562-864-3722