KOUESSEU SUPPORT FOUNDATION NPI 1518894500

NPI Information

  • NPI: 1518894500
  • Provider Name: KOUESSEU SUPPORT FOUNDATION
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 2864 E FLORENCE AVE STE 101&102
    HUNTINGTON PARK, CA
    ZIP 90255
  • Phone: (424) 376-7211

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NPI Details

KOUESSEU SUPPORT FOUNDATION is a community behavioral health in Huntington Park, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. KOUESSEU SUPPORT FOUNDATION NPI is 1518894500. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2864 E FLORENCE AVE STE 101&102
HUNTINGTON PARK, CA
ZIP 90255-749
Phone: (424) 376-7211

The provider's authorized official is Gislene Kouesseu .
The authorized official title is Ceo and has the following contact phone number (424) 376-7211.

The enumeration date for this NPI number is 5/5/2026 and was last updated on 5/5/2026.

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
1103TF0200XPsychologistForensicNo
2163W00000XRegistered NurseNo
3164X00000XLicensed Vocational NurseNo
4171M00000XCase Manager/Care CoordinatorNo
5172V00000XCommunity Health WorkerNo
6343900000XNon-emergency Medical Transport (VAN)No
7101YS0200XCounselorSchoolNo
8103K00000XBehavior AnalystNo
9373H00000XDay Training/Habilitation SpecialistNo
10251S00000XCommunity/Behavioral HealthYes

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: 11/21/2025

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