Provider Demographics
NPI:1346897808
Name:ALLCOAST COMPREHENSIVE THERAPIES LICENSED CLINICAL SOCIAL WORKER CORP
Entity Type:Organization
Organization Name:ALLCOAST COMPREHENSIVE THERAPIES LICENSED CLINICAL SOCIAL WORKER CORP
Other - Org Name:ALLCOAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:714-720-7255
Mailing Address - Street 1:17595 ALMAHURST ST STE 100A
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1792
Mailing Address - Country:US
Mailing Address - Phone:714-720-7255
Mailing Address - Fax:626-965-8300
Practice Address - Street 1:17595 ALMAHURST ST STE 100A
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748-1792
Practice Address - Country:US
Practice Address - Phone:714-720-7255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty