Provider Demographics
NPI:1821168477
Name:MONIKA SUMMERFIELD
Entity Type:Organization
Organization Name:MONIKA SUMMERFIELD
Other - Org Name:CHILD GUIDANCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:714-745-3238
Mailing Address - Street 1:16052 BEACH BLVD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3801
Mailing Address - Country:US
Mailing Address - Phone:949-757-0234
Mailing Address - Fax:714-848-2606
Practice Address - Street 1:16052 BEACH BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3801
Practice Address - Country:US
Practice Address - Phone:949-757-0234
Practice Address - Fax:714-848-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41527251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health