Organization
EXECUTIVE & LIFE COACHING, INC.
Active
Organization
EXECUTIVE & LIFE COACHING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLBERT BERNARD WILLIAMS SR. M.S.W., L.C.S.W. (PSYCHOTHERAPIST/PRESIDENT)
(866) 726-7881
Entity
Organization
Contact information
Practice address
44709 DATE AVE, LANCASTER, CA 93534-3101
(866) 726-7881
(661) 940-9317
Mailing address
2058 E OLDFIELD ST, LANCASTER, CA 93535-1727
(866) 726-7881
(661) 940-9317
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS18531
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS18531
B.B.S.
CA
Enumeration date
09/12/2007
Last updated
09/12/2007
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