Provider Demographics
NPI:1255547378
Name:BIOLA COUNSELING CENTER
Entity type:Organization
Organization Name:BIOLA COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:562-903-4800
Mailing Address - Street 1:12625 LA MIRADA BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-2211
Mailing Address - Country:US
Mailing Address - Phone:562-903-4800
Mailing Address - Fax:562-903-4802
Practice Address - Street 1:12625 LA MIRADA BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-2211
Practice Address - Country:US
Practice Address - Phone:562-903-4800
Practice Address - Fax:562-903-4802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty