Healthcare Provider Details

I. General information

NPI: 1073692372
Provider Name (Legal Business Name): TASHA LASHA MCFASHION-STIGER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TASHA STIGER BA, MSW

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 11/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S VERMONT AVE
LOS ANGELES CA
90020-1912
US

IV. Provider business mailing address

9119 S CULLEN WAY
INGLEWOOD CA
90305-1950
US

V. Phone/Fax

Practice location:
  • Phone: 213-276-5588
  • Fax: 213-351-7735
Mailing address:
  • Phone: 323-270-9111
  • Fax: 323-270-9111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number31956
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number31956
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: