Healthcare Provider Details

I. General information

NPI: 1467597658
Provider Name (Legal Business Name): COUNSELING4KIDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21535 HAWTHORNE BLVD STE 102&585
TORRANCE CA
90503-6604
US

IV. Provider business mailing address

21535 HAWTHORNE BLVD SUITE 102 & SUITE 585
TORRANCE CA
90503-6604
US

V. Phone/Fax

Practice location:
  • Phone: 310-817-2177
  • Fax: 310-817-2178
Mailing address:
  • Phone: 310-817-2177
  • Fax: 310-817-2178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHELDON BRACKETT
Title or Position: CEO
Credential:
Phone: 310-436-8920