Provider Demographics
NPI:1104633510
Name:HEALING LIGHT-COUNSELING AND COACHING, LICENSED CLINICAL SOCIAL WORKER
Entity type:Organization
Organization Name:HEALING LIGHT-COUNSELING AND COACHING, LICENSED CLINICAL SOCIAL WORKER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LCSW
Authorized Official - Phone:909-270-6656
Mailing Address - Street 1:1626 PLAZA DEL AMO
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-5267
Mailing Address - Country:US
Mailing Address - Phone:909-270-6656
Mailing Address - Fax:909-606-7944
Practice Address - Street 1:1626 PLAZA DEL AMO
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-5267
Practice Address - Country:US
Practice Address - Phone:909-270-6656
Practice Address - Fax:909-606-7944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty