Provider Demographics
NPI:1295329555
Name:TSUNG -YI ARENE TUAN, LICENSED CLINICAL SOCIAL WORKER INC.
Entity type:Organization
Organization Name:TSUNG -YI ARENE TUAN, LICENSED CLINICAL SOCIAL WORKER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TSUNGYI ARENE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-789-5217
Mailing Address - Street 1:300 W VALLEY BLVD # A8
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3338
Mailing Address - Country:US
Mailing Address - Phone:626-789-5217
Mailing Address - Fax:
Practice Address - Street 1:25 S RAYMOND AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3128
Practice Address - Country:US
Practice Address - Phone:626-789-5217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health