Organization
BLACKBURN CLINICAL SERVICES, LLC
Active
Other names
Blackburn Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
NADEA MCPHERSON (CEO)
(424) 245-5052
Entity
Organization
Contact information
Practice address
12326 VENICE BLVD, LOS ANGELES, CA 90066-3802
(888) 870-7405
Mailing address
12326 VENICE BLVD, LOS ANGELES, CA 90066-3802
(888) 870-7405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/13/2025
Last updated
05/19/2025
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