Provider Demographics
NPI:1366577660
Name:STAR VIEW COMUNITY SERVICES
Entity type:Organization
Organization Name:STAR VIEW COMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPPORT COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BURDETT
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:STILLS
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:310-800-6547
Mailing Address - Street 1:999 RAYMOND AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-4600
Mailing Address - Country:US
Mailing Address - Phone:562-434-6854
Mailing Address - Fax:
Practice Address - Street 1:100 E WARDLOW RD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4417
Practice Address - Country:US
Practice Address - Phone:562-427-6818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty