Healthcare Provider Details

I. General information

NPI: 1902515463
Provider Name (Legal Business Name): SOCIAL CONNECTIONS COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2022
Last Update Date: 11/23/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27201 TOURNEY RD STE 200G
VALENCIA CA
91355-5900
US

IV. Provider business mailing address

27201 TOURNEY RD STE 200G
VALENCIA CA
91355-5900
US

V. Phone/Fax

Practice location:
  • Phone: 818-439-7730
  • Fax:
Mailing address:
  • Phone: 818-439-7730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIKA C PERRY-DUTTON
Title or Position: OWNER/ CLINICAL DIRECTOR
Credential: MFT
Phone: 818-439-7730