Provider Demographics
NPI:1245698562
Name:DORSEY COUNSELING GROUP, INC
Entity type:Organization
Organization Name:DORSEY COUNSELING GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:310-680-4905
Mailing Address - Street 1:10736 JEFFESON BLVD
Mailing Address - Street 2:PMB 646
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-4933
Mailing Address - Country:US
Mailing Address - Phone:424-351-8535
Mailing Address - Fax:
Practice Address - Street 1:5700 HANNUM AVE STE 150
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6535
Practice Address - Country:US
Practice Address - Phone:310-680-4905
Practice Address - Fax:310-313-3669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT 80083106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty