Organization
USTAWI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI ATKINS PSY.D., LCSW (OWNER)
(310) 895-4267
Entity
Organization
Contact information
Practice address
13101 W WASHINGTON BLVD STE 118, LOS ANGELES, CA 90066-5176
(310) 895-4267
Mailing address
1923 BARRY AVE, LOS ANGELES, CA 90025-5350
(310) 895-4267
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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