Provider Demographics
NPI:1467602193
Name:CHRISTIAN COUNSELING CENTER OF BELLFLOWER
Entity Type:Organization
Organization Name:CHRISTIAN COUNSELING CENTER OF BELLFLOWER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:UMAR
Authorized Official - Suffix:
Authorized Official - Credentials:SENIOR MLCCC
Authorized Official - Phone:562-354-5235
Mailing Address - Street 1:17814 WOODRUFF AVE
Mailing Address - Street 2:UNIT 1
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-7000
Mailing Address - Country:US
Mailing Address - Phone:562-354-5235
Mailing Address - Fax:
Practice Address - Street 1:17814 WOODRUFF AVE
Practice Address - Street 2:UNIT 1
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-7000
Practice Address - Country:US
Practice Address - Phone:562-354-5235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED PENTECOSTAL INTERNATIONAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-30
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health