Healthcare Provider Details

I. General information

NPI: 1912608365
Provider Name (Legal Business Name): GET PSYCHED CLINICAL AND FORENSIC PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2023
Last Update Date: 03/13/2023
Certification Date: 03/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 PENINSULA CTR STE 147
ROLLING HILLS ESTATES CA
90274-3558
US

IV. Provider business mailing address

46E PENINSULA CTR STE 147
ROLLING HILLS ESTATES CA
90274-3506
US

V. Phone/Fax

Practice location:
  • Phone: 909-913-1359
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SANDRA RICE
Title or Position: OWNER
Credential:
Phone: 909-913-1359