Miracles Counseling Center, INC
Marriage & Family Therapist in Gardena, CA. Organization (NPI-2).
NPI number1801374954
StatusActive
Last updated in NPPESApr 20, 2020
Details
- NPI
- 1801374954
- Entity type
- Organization (NPI-2)
- Legal business name
- Miracles Counseling Center, INC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2018
- Certification date
- Apr 20, 2020
- Last updated
- Apr 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | CA | Yes |
| 103T00000X | Psychologist | – | CA | |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | – | CA | |
| 101YM0800X | Counselor, Mental Health | – | CA | |
| 101YP2500X | Counselor, Professional | – | CA | |
| 103TC0700X | Psychologist, Clinical | – | CA | |
| 104100000X | Social Worker | – | – | |
| 1041C0700X | Social Worker, Clinical | – | CA | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 251B00000X | Case Management | – | CA | |
| 251S00000X | Community/Behavioral Health | – | CA | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | CA |
Practice location
879 W 190th St Ste 400Gardena, CA 90248-4223
Phone 310-819-1055 · Fax 310-943-0494
Mailing address
1201 N Catalina Ave Unit 3052Redondo Beach, CA 90277-8255
Phone 310-819-1055 · Fax 310-943-0494
Authorized official
Iris Cruet-Rubio
Founder
3108191055
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