Provider Demographics
NPI:1861644759
Name:RECOVERY NOW LICENSED CLINICAL SOCIAL WORK, INC.
Entity Type:Organization
Organization Name:RECOVERY NOW LICENSED CLINICAL SOCIAL WORK, INC.
Other - Org Name:POSITIVE COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MACGOWAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:310-508-9531
Mailing Address - Street 1:916 N WESTERN AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-2435
Mailing Address - Country:US
Mailing Address - Phone:310-508-9531
Mailing Address - Fax:888-345-6044
Practice Address - Street 1:2138 FAIRHILL DR
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-1310
Practice Address - Country:US
Practice Address - Phone:310-508-9531
Practice Address - Fax:888-345-6044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA213031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty