DR JULIE GRAY LIGHTEDPATHWAYS PSYCHOLOGY INC (NPI# 1700362936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700362936 |
Entity Type | Organization |
Organization Name | DR JULIE GRAY LIGHTEDPATHWAYS PSYCHOLOGY INC |
Practice Address |
18411 Crenshaw Blvd Ste 260 Torrance CA 90504-5054 |
Practice Telephone | 8472123564 |
Practice Fax Number | 4243402359 |
Mailing Telephone | 8472123564 |
Mailing Fax Number | 4243402359 |
Enumeration Date | 2018-07-11 |
Last Update Date | 2018-07-11 |
Authorized Official Name | DR. JULIE ANN GRAY (OWNER) |
Authorized Official Telephone | 8472123564 |
Authorized Official Credential | PSYD, LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
28196 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAQH | 11890011 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
420 S Beverly Dr, Beverly Hills, CA 902124426 | 8472123564 | 4243402359 |
Street Address |
18411 CRENSHAW BLVD STE 260 |
City | TORRANCE |
State | CA |
Zip Code | 90504-5054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386274108 | Clear Inc | Community/Behavioral Health | 18123 Prairie Ave, Torrance, CA 90504 | 2020-01-21 |
1649732645 | Marydel Delgado Del Mar | Occupational Therapist | 16617 Faysmith Avenue, Torrance, CA 90504 | 2019-04-01 |
1356871966 | Muqeet Dadabhoy | Assisted Living Facility | 17035 Atkinson Ave, Torrance, CA 90504 | 2017-06-15 |
1407285562 | Philip Thomas Moricone Iv | Student in an Organized Health Care Education/Training Program | 17504 Kornblum Ave, Torrance, CA 90504 | 2013-11-08 |
1689001430 | Paul S. Hirano, O.d. | Optometrist | 2130 Redondo Beach Blvd. #g, Torrance, CA 90504 | 2013-10-10 |
1295004760 | Naomi Osada | Dentist | 3949 Artesia Blvd., Torrance, CA 90504 | 2011-12-29 |
1134386097 | Robert K Mondavi | Dentist | 17311 Yukon Ave, Torrance, CA 90504 | 2008-05-19 |
1386840460 | Envision Home Health Service Inc | Home Health | 17725 Crenshaw Blvd Ste #302, Torrance, CA 90504 | 2007-06-25 |
1225231640 | Soleimani Dental Corp | Dentist | 18506 Hawthorne Blvd, Torrance, CA 90504 | 2007-06-06 |
1497971360 | Shuh Yih Wang | Acupuncturist | 16811 Yukon Ave, F, Torrance, CA 90504 | 2007-04-18 |
Find all providers in zip 90504 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568075018 | Diane Weyman | Counselor | 4480 Emerald St, Torrance, CA 90503-3027 | 2020-08-25 |
1477188746 | Dezirae Marie Villagomez | Counselor | 4255 W 182nd St Apt J, Torrance, CA 90504-4648 | 2020-03-07 |
1497386338 | Susan Horvat | Counselor | 3838 W Carson St Ste 333, Torrance, CA 90503-6710 | 2020-01-29 |
1780179614 | Bianca Ramirez-leon | Counselor | 19401 S Vermont Ave # A-20, Torrance, CA 90502-1029 | 2018-06-23 |
1992218853 | Latasha Mitchell | Counselor | 23860 Hawthorne Blvd Ste 200, Torrance, CA 90505-8201 | 2017-11-14 |
1912417999 | Wellspring of Life Counseling Center, Inc. | Counselor | 2008 West Carson Street, Suite 105, Torrance, CA 90501 | 2017-10-04 |
1871036277 | Elizabeth Gonzalez | Counselor | 19401 S Vermont Ave # L102, Torrance, CA 90502-1029 | 2016-12-02 |
1740739283 | Fumie Yoshikawa | Counselor | 1306 W Carson St Apt 125, Torrance, CA 90501-3993 | 2016-09-26 |
1811444946 | Enoc Elias | Counselor | 1000 W Carson St, Box 498, Torrance, CA 90509 | 2016-09-07 |
1790230225 | Sofiya Sargsyan | Counselor | 21732 S Vermont Ave Fl 2, Torrance, CA 90502-2179 | 2016-08-25 |
Find all providers in TORRANCE |
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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.