# SOUTH BAY FAMILY COUNSELING CORP.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH BAY FAMILY COUNSELING CORP.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407426638
- **Legal business name:** SOUTH BAY FAMILY COUNSELING CORP.
- **Authorized official:** MEGAN HIGINBOTHAM PH.D. (OWNER)
- **Authorized official phone:** (310) 713-5026

## Contact information

- **Practice address:** 25550 HAWTHORNE BLVD STE 316, TORRANCE, CA 90505-6832
- **Practice address phone:** (310) 713-5026
- **Mailing address:** 25550 HAWTHORNE BLVD STE 316, TORRANCE, CA 90505-6832
- **Mailing address phone:** (310) 713-5026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2021
- **Last updated:** 06/29/2021