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General NPI Number Information
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NPI Number | 1407660251
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Entity Type | Organization
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Legal Business Name | PARENTS ANONYMOUS INC.
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 16600 SHERMAN WAY STE 280
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City | VAN NUYS
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State | CA
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Zip | 91406-3785
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Country | US
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Telephone | 818-221-1572
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Fax |
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Provider Business Mailing Address
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Address Line | 16600 SHERMAN WAY STE 280
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City | VAN NUYS
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State | CA
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Zip | 91406-3785
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Country | US
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Telephone | 818-221-1572
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Fax | 909-621-0614
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Authorized Official
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Title or Position | HEAD OF SERVICE
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Name | CARLOS VELASCO
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Credential | LPCC
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Telephone | 323-354-9242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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