Provider Demographics
NPI:1700549631
Name:OAKS COUNSELING CENTER
Entity Type:Organization
Organization Name:OAKS COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOOSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-219-6143
Mailing Address - Street 1:5535 BALBOA BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-1585
Mailing Address - Country:US
Mailing Address - Phone:818-219-6143
Mailing Address - Fax:
Practice Address - Street 1:5535 BALBOA BLVD STE 209
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1585
Practice Address - Country:US
Practice Address - Phone:818-219-6143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0180342Medicaid