# MIRACLES COUNSELING CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801374954
- **Authorized official:** IRIS CRUET-RUBIO LMFT (FOUNDER)
- **Authorized official phone:** (310) 819-1055

## Contact information

- **Practice address:** 879 W 190TH ST STE 400, GARDENA, CA 90248-4223
- **Practice address phone:** (310) 819-1055
- **Practice address fax:** (310) 943-0494
- **Mailing address:** 1201 N CATALINA AVE UNIT 3052, REDONDO BEACH, CA 90277-8255
- **Mailing address phone:** (310) 819-1055
- **Mailing address fax:** (310) 943-0494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | CA | — |
| 101YP2500X | Professional Counselor | — | CA | — |
| 103T00000X | Psychologist | — | CA | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | CA | — |
| 103TC0700X | Clinical Psychologist | — | CA | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | CA | — |
| 106H00000X | Marriage & Family Therapist | — | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251B00000X | Case Management Agency | — | CA | — |
| 251S00000X | Community/Behavioral Health Agency | — | CA | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | CA | — |

## Other

- **Enumeration date:** 08/01/2018
- **Last updated:** 04/20/2020