Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc

LBN: Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc
Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc is an health care organization with primary practice located at 12139 Mount Vernon Ave Ste 200A , Grand Terrace CA 92313-5547. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc can be contacted via phone (951) 465-5812, or through Xicotencatl, Zuelika C via phone (951) 465-5812.

Contact Information

Primary practice address
12139 Mount Vernon Ave Ste 200A Grand Terrace CA 92313-5547
Phone: (951) 465-5812
Fax: (951) 346-5680
Website:
Map and Directions
Authorized official contact:
Name: Xicotencatl, Zuelika C Licensed Clinical Social Worker (LCSW)
Phone: (951) 465-5812

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1457948077
LBN Legal business name Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc
DBA Doing business as
Authorized official Xicotencatl, Zuelika C Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2020
Last updated Dec 29th, 2020 - about 4 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.

Request for update

Popular Providers