Basic Information
Provider Information
NPI: 1003078411
EntityType: 2
ReplacementNPI:  
OrganizationName: HELPLINE YOUTH COUNSELING, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 14181 TELEGRAPH ROAD
Address2:  
City: WHITTIER
State: CA
PostalCode: 90604
CountryCode: US
TelephoneNumber: 5622730722
FaxNumber: 5629463641
Practice Location
Address1: 1133 RHEA ST
Address2:  
City: LONG BEACH
State: CA
PostalCode: 908065125
CountryCode: US
TelephoneNumber: 5625992244
FaxNumber: 5629463641
Other Information
ProviderEnumerationDate: 06/26/2008
LastUpdateDate: 07/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: RAMIREZ
AuthorizedOfficialFirstName: JOCELYN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: SENIOR COORDINATOR
AuthorizedOfficialTelephone: 5622730722
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: HELPLINE YOUTH COUNSELING, INC.
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


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