Healthcare Provider Details

I. General information

NPI: 1902752652
Provider Name (Legal Business Name): CHRISTIAN COUNSELING COLLECTIVE BY KRISTIN LCSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23104 SAMUEL STREET 204
TORRANCE CA
90505
US

IV. Provider business mailing address

23104 SAMUEL ST APT 204
TORRANCE CA
90505-3839
US

V. Phone/Fax

Practice location:
  • Phone: 310-482-1128
  • Fax:
Mailing address:
  • Phone: 310-482-1128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN BEECH
Title or Position: OWNER AND FOUNDER
Credential: LCSW
Phone: 310-482-1128