Healthcare Provider Details

I. General information

NPI: 1942323563
Provider Name (Legal Business Name): WEST END FAMILY COUNSELING SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 01/15/2021
Certification Date: 01/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 N EUCLID AVE
ONTARIO CA
91762-2729
US

IV. Provider business mailing address

855 N EUCLID AVE
ONTARIO CA
91762-2729
US

V. Phone/Fax

Practice location:
  • Phone: 909-983-2020
  • Fax: 909-983-6847
Mailing address:
  • Phone: 909-983-2020
  • Fax: 909-983-6847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LAURA TAPIA
Title or Position: CEO
Credential: LMFT
Phone: 909-983-2020