Provider Demographics
NPI:1659096097
Name:BLESSY GIRON, LICENSED CLINICAL SOCIAL WORKER
Entity Type:Organization
Organization Name:BLESSY GIRON, LICENSED CLINICAL SOCIAL WORKER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BLESSY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:213-448-6605
Mailing Address - Street 1:13666 HAWTHORNE BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-5815
Mailing Address - Country:US
Mailing Address - Phone:213-448-6605
Mailing Address - Fax:
Practice Address - Street 1:13666 HAWTHORNE BLVD STE 3
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-5815
Practice Address - Country:US
Practice Address - Phone:213-448-6605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty