=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851846281
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ZES PERSPECTIVES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/15/2016
-----------------------------------------------------
Last Update Date | 08/15/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11845 W OLYMPIC BLVD SUITE 655
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90064-1149
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-476-2566
-----------------------------------------------------
Fax | 310-312-6680
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11845 W OLYMPIC BLVD SUITE 655
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90064-1149
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-476-2566
-----------------------------------------------------
Fax | 310-312-6680
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PROVIDER/CLINCIAL SOCIAL WORK
-----------------------------------------------------
Name | MRS. ZORA EM SPEERT
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 310-476-2566
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number | LCSW6815
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------