SERVONTE EPHRIAM (NPI# 1265697650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265697650 |
Entity Type | Individual |
Full Name | SERVONTE EPHRIAM |
Credential | COUNSELOR |
Practice Address |
1030 W Florence Ave Los Angeles CA 90044-2442 |
Practice Telephone | 3237507580 |
Practice Fax Number | 3237586095 |
Mailing Telephone | 3237507580 |
Mailing Fax Number | 3237586095 |
Enumeration Date | 2008-07-24 |
Last Update Date | 2008-07-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
1030 W FLORENCE AVE |
City | LOS ANGELES |
State | CA |
Zip Code | 90044-2442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871709055 | The New You Center, Inc. | Community/Behavioral Health | 1030 W Florence Ave, Los Angeles, CA 90044-2442 | 2007-05-15 |
1346795689 | Lisa Edwards | Counselor | 1030 W Florence Ave, Los Angeles, CA 90044-2442 | 2016-08-16 |
1073987699 | Madalyn Navarro | Counselor | 1030 W Florence Ave, Los Angeles, CA 90044-2442 | 2015-11-19 |
1275917098 | Ruben Montano | Counselor | 1030 W Florence Ave, Los Angeles, CA 90044-2442 | 2015-07-10 |
1720418247 | Jose Morales | Counselor | 1030 W Florence Ave, Los Angeles, CA 90044-2442 | 2013-11-19 |
1669759817 | Carolina Medel | Counselor | 1030 W Florence Ave, Los Angeles, CA 90044-2442 | 2011-11-15 |
1447535802 | Dawn Smith | Marriage & Family Therapist | 1030 W Florence Ave, Los Angeles, CA 90044-2442 | 2011-10-18 |
1457585838 | Felicia M Johnson | Counselor | 1030 W Florence Ave, Los Angeles, CA 90044-2442 | 2009-05-13 |
1952553018 | Pamela Yvette Bell | Counselor | 1030 W Florence Ave, Los Angeles, CA 90044-2442 | 2008-10-21 |
1780840124 | Malvin Hawkins | Counselor | 1030 W Florence Ave, Los Angeles, CA 90044-2442 | 2008-08-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386135671 | Park Professional Dental Corp | Dentist | 600 W Manchester Ave Ste 2, Los Angeles, CA 90044 | 2018-05-23 |
1851831218 | Latisha Samantha Carter | Licensed Vocational Nurse | 521 W 97th St., Los Angeles, CA 90044 | 2017-03-06 |
1669928230 | Travel & Ground Network Inc. | Non-emergency Medical Transport (VAN) | 605 West 113 Th. Street, Los Angeles, CA 90044 | 2016-09-01 |
1295100642 | Scharp | Community/Behavioral Health | 8836 Vermont Ave, Los Angeles, CA 90044 | 2015-12-10 |
1356714851 | Euna Lee | Pharmacist | 5822 S Vermont Avenue, Los Angeles, CA 90044 | 2015-11-05 |
1518384338 | Kiniko Willingham | Social Worker | 1050 W 91st St, Los Angles, CA 90044 | 2014-03-19 |
1619211422 | Los Angeles Christian Health Centers | Clinic/Center | 8511 1/2 Vermont Street, Los Angeles, CA 90044 | 2012-11-16 |
1891047510 | Yvonne Henderson | Marriage & Family Therapist | 8730 S. Vermont Ave, Los Angeles, CA 90044 | 2012-10-04 |
1669722534 | Diana Gutierrez | Counselor | 9001 S. Vermont Ave., Los Angeles, CA 90044 | 2012-09-18 |
1720343304 | Rocio Cortez | Counselor | 90001 South Vermont Ave, Los Angeles, CA 90044 | 2012-07-10 |
Find all providers in zip 90044 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90044 |
Please comment or provide details below to improve the information on SERVONTE EPHRIAM.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.