Provider Demographics
NPI:1679104806
Name:INSTITUTE FOR MULTICULTURAL COUNSELING AND EDUCATION SERVICES, INC
Entity type:Organization
Organization Name:INSTITUTE FOR MULTICULTURAL COUNSELING AND EDUCATION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MASHROUTEH
Authorized Official - Middle Name:
Authorized Official - Last Name:PIRHEKAYATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-381-1250
Mailing Address - Street 1:1730 W CAMERON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-2722
Mailing Address - Country:US
Mailing Address - Phone:213-381-1250
Mailing Address - Fax:213-383-4803
Practice Address - Street 1:1730 W CAMERON AVE STE 200
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2722
Practice Address - Country:US
Practice Address - Phone:213-381-1250
Practice Address - Fax:213-383-4803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health