Provider Demographics
NPI:1912197187
Name:GLOBAL EXECUTIVE RESOURCES, LLC
Entity Type:Organization
Organization Name:GLOBAL EXECUTIVE RESOURCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:NEEDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:714-391-3842
Mailing Address - Street 1:3419 VIA LIDO
Mailing Address - Street 2:#176
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3908
Mailing Address - Country:US
Mailing Address - Phone:949-258-5113
Mailing Address - Fax:949-258-5113
Practice Address - Street 1:457 SHAN XI NORTH ROAD
Practice Address - Street 2:BLOCK 1 ROOM 115
Practice Address - City:SHANGHAI
Practice Address - State:SHANGHAI
Practice Address - Zip Code:200040
Practice Address - Country:CN
Practice Address - Phone:86216-141-8630
Practice Address - Fax:86215-877-1438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC9107106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty