Provider Demographics
NPI:1982778122
Name:DEPARTMENT OF MENTAL HEALTH SERVICE AREA SEVEN ADMINISTRATION
Entity Type:Organization
Organization Name:DEPARTMENT OF MENTAL HEALTH SERVICE AREA SEVEN ADMINISTRATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRAINING COORDINATOR MENTAL HEALTH
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:MARINA
Authorized Official - Last Name:GUEVARA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:213-738-3431
Mailing Address - Street 1:550 S VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-1912
Mailing Address - Country:US
Mailing Address - Phone:213-738-3431
Mailing Address - Fax:213-351-2490
Practice Address - Street 1:11967 OLIVE ST # 1
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-2967
Practice Address - Country:US
Practice Address - Phone:562-404-9790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22510101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty