Healthcare Provider Details

I. General information

NPI: 1477077832
Provider Name (Legal Business Name): WESTMONT COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1704 W MANCHESTER AVE STE 202A
LOS ANGELES CA
90047-3057
US

IV. Provider business mailing address

1704 W MANCHESTER AVE STE 202A
LOS ANGELES CA
90047-3057
US

V. Phone/Fax

Practice location:
  • Phone: 323-531-0565
  • Fax:
Mailing address:
  • Phone: 323-531-0565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. JOEL MCLAFFERTY
Title or Position: EXECUTIVE DIRECTOR
Credential: MFT
Phone: 323-531-0565