Healthcare Provider Details

I. General information

NPI: 1013893726
Provider Name (Legal Business Name): ESL PSYCHOLOGICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 26TH ST STE 202
SANTA MONICA CA
90402-2543
US

IV. Provider business mailing address

270 26TH ST STE 202
SANTA MONICA CA
90402-2543
US

V. Phone/Fax

Practice location:
  • Phone: 424-209-2592
  • Fax:
Mailing address:
  • Phone: 424-209-2592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERICA SANBORN LINDGREN
Title or Position: CEO, CFO
Credential: PH.D.
Phone: 424-209-2593