San Diego Divorce Counseling Center

LBN: San Diego Divorce Counseling Center
San Diego Divorce Counseling Center is an health care organization with primary practice located at 11622 El Camino Real Ste 100 , San Diego CA 92130-2051. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. San Diego Divorce Counseling Center can be contacted via phone (619) 865-3203, or through Flax, Lynn Waldman via phone (619) 865-3203.

Contact Information

Primary practice address
11622 El Camino Real Ste 100 San Diego CA 92130-2051
Phone: (619) 865-3203
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Flax, Lynn Waldman Licensed Clinical Social Worker (LCSW)
Phone: (619) 865-3203

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1356997761
LBN Legal business name San Diego Divorce Counseling Center
DBA Doing business as
Authorized official Flax, Lynn Waldman Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2019
Last updated Aug 12th, 2019 - about 6 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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