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General NPI Number Information
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NPI Number | 1942338090
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Entity Type | Organization
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Legal Business Name | ALCOTT CENTER FOR MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 10559 JEFFERSON BLVD. SUITES A, D, E
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City | CULVER CITY
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State | CA
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Zip | 90232-9023
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Country | US
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Telephone | 310-785-2121
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Fax | 310-553-6052
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Provider Business Mailing Address
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Address Line | 10549 JEFFERSON BLVD
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City | CULVER CITY
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State | CA
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Zip | 90232-3513
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Country | US
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Telephone | 310-785-2121
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Fax | 310-553-6052
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Authorized Official
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Title or Position | DIRECTOR OF PROGRAMS
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Name | MRS. KRISTIN L RANGEL
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Credential | LCSW
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Telephone | 310-785-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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