Provider Demographics
NPI:1679837702
Name:CONSULTING COLLECTIVE INC
Entity Type:Organization
Organization Name:CONSULTING COLLECTIVE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EDMONS-BIGLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-369-1292
Mailing Address - Street 1:3838 CARSON STREET
Mailing Address - Street 2:SUITE 360
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503
Mailing Address - Country:US
Mailing Address - Phone:323-379-3394
Mailing Address - Fax:
Practice Address - Street 1:3838 CARSON STREET
Practice Address - Street 2:SUITE 360
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503
Practice Address - Country:US
Practice Address - Phone:323-379-3394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-04
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19260103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty