Provider Demographics
NPI:1821295445
Name:COALITION OF MENTAL HEALTH PROFESSIONALS, INC
Entity Type:Organization
Organization Name:COALITION OF MENTAL HEALTH PROFESSIONALS, INC
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:323-777-3120
Mailing Address - Street 1:9145 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90003-4051
Mailing Address - Country:US
Mailing Address - Phone:323-777-3120
Mailing Address - Fax:323-777-5968
Practice Address - Street 1:9145 S BROADWAY
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90003-4051
Practice Address - Country:US
Practice Address - Phone:323-777-3120
Practice Address - Fax:323-777-5968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC14557251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health