Provider Demographics
NPI:1932986486
Name:SHRINKS CORNER INC
Entity Type:Organization
Organization Name:SHRINKS CORNER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKELE
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW
Authorized Official - Phone:949-403-7288
Mailing Address - Street 1:350 FOREST AVE UNIT 654
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92652-2029
Mailing Address - Country:US
Mailing Address - Phone:949-403-7288
Mailing Address - Fax:
Practice Address - Street 1:27611 LA PAZ RD STE A6
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-3999
Practice Address - Country:US
Practice Address - Phone:949-403-7288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty