Provider Demographics
NPI:1982111225
Name:FINDING LIGHT FAMILY COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:FINDING LIGHT FAMILY COUNSELING SERVICES INC
Other - Org Name:FINDING LIGHT FAMILY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVAZOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-367-4576
Mailing Address - Street 1:208 VIOLET AVE
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-2639
Mailing Address - Country:US
Mailing Address - Phone:510-367-4576
Mailing Address - Fax:
Practice Address - Street 1:201 W 4TH ST STE 200
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4707
Practice Address - Country:US
Practice Address - Phone:510-367-4576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47453106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty