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NPI Code Detail

MEDICARE: COUNSELING4KIDS

MEDICARE: COUNSELING4KIDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2252Y00000XEarly Intervention Provider Agency
3261QM0855XAdolescent and Children Mental Health Clinic/Center
4251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1053467548
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNSELING4KIDS
Provider Business Mailing Address
First Line : 225 W BROADWAY STE 155
Second Line :
City : GLENDALE
State : CA
Zip : 91204-1332
Country : US
Telephone Number : 818-441-7800
Fax Number : 818-441-0013
Provider Business Practice Location Address
First Line : 225 W BROADWAY STE 155
Second Line :
City : GLENDALE
State : CA
Zip : 91204-1332
Country : US
Telephone Number : 818-441-7800
Fax Number : 818-441-0013
Authorized Official
Title or Position : CEO
Name : SHELDON BRACKETT
Credential :
Telephone Number : 310-436-8920
Provider Enumeration Date : 01/26/2007
Last Update Date : 04/30/2025

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Directions to “COUNSELING4KIDS ” Practice Location

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