Provider Demographics
NPI:1386800282
Name:AFFILIATED COUNSELING SERVICES
Entity type:Organization
Organization Name:AFFILIATED COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ATTORNEY
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:TREGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-848-5804
Mailing Address - Street 1:16152 BEACH BLVD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3806
Mailing Address - Country:US
Mailing Address - Phone:714-848-5804
Mailing Address - Fax:714-848-5184
Practice Address - Street 1:16152 BEACH BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3806
Practice Address - Country:US
Practice Address - Phone:714-848-5804
Practice Address - Fax:714-848-5184
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AFFILIATED COUNSELING SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-31
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty