| Conscious Living Counseling Inc. | |
|
23717 Hawthorne Blvd Suite 103 Torrance CA 90505 | |
| (310) 302-7006 | |
| (310) 872-5041 |
| Full Name | Conscious Living Counseling Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 23717 Hawthorne Blvd, Torrance, California |
| Authorized Official Name and Position | Christine Cearfoss (OWNER) |
| Authorized Official Contact | 3103027006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conscious Living Counseling Inc. 23717 Hawthorne Blvd Suite 103 Torrance CA 90505 Ph: (310) 302-7006 | Conscious Living Counseling Inc. 23717 Hawthorne Blvd Suite 103 Torrance CA 90505 Ph: (310) 302-7006 |
| NPI Number | 1356798219 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 01/31/2020 |
| Certification Date | 01/31/2020 |
| Medicare PECOS PAC ID | 5193153658 |
|---|---|
| Medicare Enrollment ID | O20200316001271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356798219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | LCSW 25819 (California) | Secondary |
| Provider Name | Christine E Cearfoss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962546465 PECOS PAC ID: 7911335484 Enrollment ID: I20200316001341 |
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