Organization
EMOTIONAL CHANGE INC.
Active
Other names
Lascano Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GEORGE MFT (CEO)
(314) 974-7347
Entity
Organization
Contact information
Practice address
4368 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-3211
(314) 974-7347
(314) 843-0201
Mailing address
4368 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-3211
(314) 974-7347
(314) 843-0201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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