Provider Demographics
NPI:1578214276
Name:HEALING PARTNERS, LICENSED CLINICAL SOCIAL WORKER APC
Entity Type:Organization
Organization Name:HEALING PARTNERS, LICENSED CLINICAL SOCIAL WORKER APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:QUYNH CHI
Authorized Official - Middle Name:MAI
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:714-725-9583
Mailing Address - Street 1:12082 FIREBRAND ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-4101
Mailing Address - Country:US
Mailing Address - Phone:714-725-9583
Mailing Address - Fax:
Practice Address - Street 1:20 CORPORATE PARK STE 220
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-3111
Practice Address - Country:US
Practice Address - Phone:949-345-0559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty