Provider Demographics
NPI:1467597658
Name:COUNSELING4KIDS, INC.
Entity Type:Organization
Organization Name:COUNSELING4KIDS, INC.
Other - Org Name:COUNSELING4KIDS-TORRANCE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:
Authorized Official - Last Name:BRACKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-436-8920
Mailing Address - Street 1:21515 HAWTHORNE BLVD STE 360
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-6542
Mailing Address - Country:US
Mailing Address - Phone:310-817-2177
Mailing Address - Fax:310-817-2178
Practice Address - Street 1:21535 HAWTHORNE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-6626
Practice Address - Country:US
Practice Address - Phone:310-817-2177
Practice Address - Fax:310-817-2178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health