Provider Demographics
NPI:1346371754
Name:INSTITUTE FOR MULTICULTURAL COUNSELING AND EDUCATION SERVICES, INC
Entity Type:Organization
Organization Name:INSTITUTE FOR MULTICULTURAL COUNSELING AND EDUCATION SERVICES, INC
Other - Org Name:INSTITUTE FOR MULTICULTURAL COUNSELING & EDUCATION SVCS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAHEREH
Authorized Official - Middle Name:
Authorized Official - Last Name:PIRHEKAYATY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:213-381-1250
Mailing Address - Street 1:121 W LEXINGTON DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2203
Mailing Address - Country:US
Mailing Address - Phone:818-240-4311
Mailing Address - Fax:818-240-4318
Practice Address - Street 1:121 W LEXINGTON DR
Practice Address - Street 2:SUITE 300
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2203
Practice Address - Country:US
Practice Address - Phone:818-240-4311
Practice Address - Fax:818-240-4318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA960001451251S00000X, 261QC1500X, 261QH0100X, 261QM0801X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7547OtherMEDICAL PROVIDER NO.