Healthcare Provider Details

I. General information

NPI: 1356798219
Provider Name (Legal Business Name): CONSCIOUS LIVING COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2016
Last Update Date: 11/30/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22750 HAWTHORNE BLVD STE 201
TORRANCE CA
90505-3667
US

IV. Provider business mailing address

22750 HAWTHORNE BLVD STE 201
TORRANCE CA
90505-3667
US

V. Phone/Fax

Practice location:
  • Phone: 310-302-7006
  • Fax: 310-872-5041
Mailing address:
  • Phone: 310-302-7006
  • Fax: 310-872-5041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberLCSW 25819
License Number StateCA

VIII. Authorized Official

Name: CHRISTINE CEARFOSS
Title or Position: OWNER
Credential: PH. D, LCSW
Phone: 310-302-7006