Blue Chair Foundation

LBN: Blue Chair Foundation
Blue Chair Foundation is an health care organization with primary practice located at 2512 Artesia Blvd Ste 110 , Redondo Beach CA 90278-3265. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Blue Chair Foundation can be contacted via phone (310) 974-0533, or through Cornwall, Amy M. via phone (424) 350-8398.

Contact Information

Primary practice address
2512 Artesia Blvd Ste 110 Redondo Beach CA 90278-3265
Phone: (310) 974-0533
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cornwall, Amy M. MS
Phone: (424) 350-8398

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1235974619
LBN Legal business name Blue Chair Foundation
DBA Doing business as
Authorized official Cornwall, Amy M. MS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2024
Last updated Jun 27th, 2024 - about 3 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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