Organization Name: | MOSLEY COUNSELING CENTER, LLC |
NPI Number: | 1952664021 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAMAR T MOSLEY (CEO) |
Mailing Address: | 2130 W. Arrowhead Ave. Suite 103c San Bernardino |
State: | CA US |
Postal Code: | 92405 |
Phone Number: | 9097238290 |
Fax Number: | 9097238290 |
NPI Enumeration Date: | 06/22/2012 |
NPI Last Update Date: | 06/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CAVIC2-790-081513B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |