Healthcare Provider Details

I. General information

NPI: 1457019119
Provider Name (Legal Business Name): SCV COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2021
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23504 LYONS AVE STE 401B
SANTA CLARITA CA
91321-5777
US

IV. Provider business mailing address

23504 LYONS AVE STE 401B
SANTA CLARITA CA
91321-5777
US

V. Phone/Fax

Practice location:
  • Phone: 661-212-2893
  • Fax: 818-235-1507
Mailing address:
  • Phone: 661-212-2893
  • Fax: 818-235-1507

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 StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALEXANDER KARIMI
Title or Position: LMFT/OWNER
Credential: LMFT
Phone: 661-212-2893