EDUCATIONAL AND DEVELOPMENTAL THERAPIES NPI 1417378704

NPI Information

NPI: 1417378704
Provider Name: EDUCATIONAL AND DEVELOPMENTAL THERAPIES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2249 20TH ST
SUITE 101
SANTA MONICA, CA
ZIP 90405
Phone: (310) 450-8004
Get Directions

EDUCATIONAL AND DEVELOPMENTAL THERAPIES is a mental health counselor in Santa Monica, CA. EDUCATIONAL AND DEVELOPMENTAL THERAPIES NPI is 1417378704. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2249 20TH ST
SUITE 101
SANTA MONICA, CA
ZIP 90405-742
Phone: (310) 450-8004
Fax: (310) 450-8004

The provider's authorized official is Maxwell Raney Brooks .
The authorized official title is Ceo/president and has the following contact phone number (310) 450-8004.

The enumeration date for this NPI number is 1/3/2014 and was last updated on 1/3/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	093343	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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