Healthcare Provider Details

I. General information

NPI: 1770418733
Provider Name (Legal Business Name): ALCHEMY PSYCHOLOGY COLECTIVO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5710 W CENTINELA AVE APT 326
LOS ANGELES CA
90045
US

IV. Provider business mailing address

21213 HAWTHORNE BLVD STE B #3212
TORRANCE CA
90503
US

V. Phone/Fax

Practice location:
  • Phone: 559-331-5466
  • Fax:
Mailing address:
  • Phone: 323-609-3212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURA PATRICIA MINERO MEZA
Title or Position: LICENSED PSYCHOLOGIST
Credential: LP
Phone: 323-609-3212