Collective Therapy Group

LBN: Freedom Collective Therapy Group
Collective Therapy Group is an health care organization with primary practice located at 22792 Centre Dr Ste 104 , Lake Forest CA 92630-6311. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Freedom Collective Therapy Group can be contacted via phone (714) 326-3722, or through Medina, Chandra via phone (714) 326-3722.

Contact Information

Primary practice address
22792 Centre Dr Ste 104 Lake Forest CA 92630-6311
Phone: (714) 326-3722
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Medina, Chandra
Phone: (714) 326-3722

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1912687708
LBN Legal business name Freedom Collective Therapy Group
DBA Doing business as Collective Therapy Group
Authorized official Medina, Chandra
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2023
Last updated Jul 27th, 2023 - about 2 years 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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