Provider Demographics
NPI:1376422949
Name:ADELAIDE BARROSO THERAPY A PROFESSIONAL CLINICAL COUNSELOR CORPORATION
Entity type:Organization
Organization Name:ADELAIDE BARROSO THERAPY A PROFESSIONAL CLINICAL COUNSELOR CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADELAIDE
Authorized Official - Middle Name:ROWE
Authorized Official - Last Name:BARROSO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT, LPCC, LMHC
Authorized Official - Phone:310-987-7251
Mailing Address - Street 1:21250 HAWTHORNE BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-5514
Mailing Address - Country:US
Mailing Address - Phone:310-987-7251
Mailing Address - Fax:
Practice Address - Street 1:1005 AVENUE D
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-4907
Practice Address - Country:US
Practice Address - Phone:310-987-7251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty