Provider Demographics
NPI:1306987375
Name:FIVE STAR COUNSELING & EDUCATIONAL SERVICES
Entity type:Organization
Organization Name:FIVE STAR COUNSELING & EDUCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALGUERO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:818-763-6615
Mailing Address - Street 1:6205 LAUREL CANYON BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3210
Mailing Address - Country:US
Mailing Address - Phone:818-763-6615
Mailing Address - Fax:818-506-5540
Practice Address - Street 1:6205 LAUREL CANYON BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3210
Practice Address - Country:US
Practice Address - Phone:818-763-6615
Practice Address - Fax:818-506-5540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 14822103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty