Provider Demographics
NPI:1255154456
Name:WHITE OAK INDUSTRIES INC.
Entity type:Organization
Organization Name:WHITE OAK INDUSTRIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-436-8577
Mailing Address - Street 1:28125 BRADLEY RD STE 260
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92586-2279
Mailing Address - Country:US
Mailing Address - Phone:951-293-1921
Mailing Address - Fax:951-848-6277
Practice Address - Street 1:28125 BRADLEY RD STE 260
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:CA
Practice Address - Zip Code:92586-2279
Practice Address - Country:US
Practice Address - Phone:951-293-1921
Practice Address - Fax:951-848-6277
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHITE OAK INDUSTRIES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty