Provider Demographics
NPI:1508088261
Name:CALIFORNIA COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:CALIFORNIA COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:626-792-1184
Mailing Address - Street 1:1225 W HUNTINGTON DR STE 2
Mailing Address - Street 2:SUITE #2
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-6315
Mailing Address - Country:US
Mailing Address - Phone:626-792-1184
Mailing Address - Fax:626-795-7083
Practice Address - Street 1:1225 W HUNTINGTON DR STE 2
Practice Address - Street 2:SUITE 2
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-6315
Practice Address - Country:US
Practice Address - Phone:626-792-1184
Practice Address - Fax:626-795-7083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-08-11
Deactivation Date:2008-06-03
Deactivation Code:
Reactivation Date:2008-08-11
Provider Licenses
StateLicense IDTaxonomies
CA13257106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty