MEDICARE: THE GUIDANCE CENTER

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1720686173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GUIDANCE CENTER

Provider Business Mailing Address
First Line	:	1301 PINE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3124
Country	:	US
Telephone Number	:	562-595-1159
Fax Number	:	562-216-2337

Provider Business Practice Location Address
First Line	:	1545 LONG BEACH BLVD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-1923
Country	:	US
Telephone Number	:	562-595-1159
Fax Number	:	562-216-2337

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	PATRICIA COSTALES
Credential	:	LCSW
Telephone Number	:	562-485-2271

Provider Enumeration Date	:	10/16/2020
Last Update Date	:	02/04/2025

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Directions to “THE GUIDANCE CENTER ” Practice Location

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