Provider Demographics
NPI:1154870376
Name:CONNECT NURTURE
Entity type:Organization
Organization Name:CONNECT NURTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST/CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:PAULINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:323-304-1440
Mailing Address - Street 1:13006 PHILADELPHIA ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4210
Mailing Address - Country:US
Mailing Address - Phone:909-957-8086
Mailing Address - Fax:
Practice Address - Street 1:13006 PHILADELPHIA ST
Practice Address - Street 2:SUITE 302
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4210
Practice Address - Country:US
Practice Address - Phone:909-957-8086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA617681041C0700X
CA284521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty