Healthcare Provider Details

I. General information

NPI: 1487717740
Provider Name (Legal Business Name): ACTION FAMILY COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 12/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4380 APRICOT RD
SIMI VALLEY CA
93063-2317
US

IV. Provider business mailing address

26893 BOUQUET CANYON RD STE C-134
SANTA CLARITA CA
91350-3500
US

V. Phone/Fax

Practice location:
  • Phone: 800-367-8336
  • Fax: 661-297-9701
Mailing address:
  • Phone: 800-367-8336
  • Fax: 661-297-9701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SEAN QUASHEN
Title or Position: BUSINESS DEVELOPEMENT
Credential:
Phone: 661-753-7272