Provider Demographics
NPI:1063811610
Name:SAN FERNANDO VALLEY COUNSELING CENTER
Entity type:Organization
Organization Name:SAN FERNANDO VALLEY COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NYCHOL
Authorized Official - Middle Name:LYNA
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-341-1111
Mailing Address - Street 1:7247 HAYVENHURST AVE STE A8
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-2852
Mailing Address - Country:US
Mailing Address - Phone:818-341-1111
Mailing Address - Fax:818-341-0096
Practice Address - Street 1:7247 HAYVENHURST AVE STE A8
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-2852
Practice Address - Country:US
Practice Address - Phone:818-341-1111
Practice Address - Fax:818-341-0096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health