Provider Demographics
NPI:1306377080
Name:FAMILY SOLUTIONS COUNSELING CENTER
Entity Type:Organization
Organization Name:FAMILY SOLUTIONS COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:BONILLA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-305-0931
Mailing Address - Street 1:107 S FAIR OAKS AVE
Mailing Address - Street 2:313
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2010
Mailing Address - Country:US
Mailing Address - Phone:818-305-0931
Mailing Address - Fax:
Practice Address - Street 1:107 S FAIR OAKS AVE
Practice Address - Street 2:313
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2010
Practice Address - Country:US
Practice Address - Phone:818-305-0931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51543106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty