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EPIPHANY COUNSELING CONSULTING & TREATMENT SERVICES PC NPI 1376922328


NPI Information

NPI: 1376922328
Provider Name: EPIPHANY COUNSELING, CONSULTING & TREATMENT SERVICES, PC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
302 W 5TH ST STE 308
SAN PEDRO, CA
ZIP 90731
Phone: (424) 376-8705
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EPIPHANY COUNSELING, CONSULTING & TREATMENT SERVICES, PC is a clinical social worker in San Pedro, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. EPIPHANY COUNSELING, CONSULTING & TREATMENT SERVICES, PC NPI is 1376922328. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

302 W 5TH ST STE 308
SAN PEDRO, CA
ZIP 90731-750
Phone: (424) 376-8705
Fax: (424) 363-1721

The provider's authorized official is Miyume Mckinley .
The authorized official title is Owner and has the following contact phone number (424) 570-6955.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 10/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
21041C0700XSocial WorkerClinicalLCSW64555CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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