Provider Demographics
NPI:1407442221
Name:LAMAS COUNSELING LICENSED CLINICAL SOCIAL WORKER, INC.
Entity Type:Organization
Organization Name:LAMAS COUNSELING LICENSED CLINICAL SOCIAL WORKER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-382-7878
Mailing Address - Street 1:809 S ATLANTIC BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-4757
Mailing Address - Country:US
Mailing Address - Phone:323-382-7878
Mailing Address - Fax:818-839-4838
Practice Address - Street 1:809 S ATLANTIC BLVD STE 203
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-4757
Practice Address - Country:US
Practice Address - Phone:323-382-7878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty