Healthcare Provider Details

I. General information

NPI: 1073301966
Provider Name (Legal Business Name): DHW CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19323 LAVI CT
TARZANA CA
91356-1142
US

IV. Provider business mailing address

16052 COLUMBUS LN
NORTH HILLS CA
91343-2157
US

V. Phone/Fax

Practice location:
  • Phone: 818-818-4715
  • Fax:
Mailing address:
  • Phone: 818-818-4715
  • 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 TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MR. HARLAN MORGAN
Title or Position: DIRECTOR
Credential:
Phone: 818-818-4715