Organization
LA COMMUNITY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BIVANS (CEO)
(310) 810-8216
Entity
Organization
Contact information
Practice address
19562 VENTURA BLVD STE 231, TARZANA, CA 91356-6058
(818) 705-6345
Mailing address
19562 VENTURA BLVD STE 231, TARZANA, CA 91356-6058
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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