Provider Demographics
NPI:1982435483
Name:INK EDUCATION
Entity type:Organization
Organization Name:INK EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CERESE
Authorized Official - Middle Name:C
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:MA,PSYD
Authorized Official - Phone:310-462-6777
Mailing Address - Street 1:427 W 5TH ST APT 1507
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-1184
Mailing Address - Country:US
Mailing Address - Phone:310-462-6777
Mailing Address - Fax:
Practice Address - Street 1:427 W 5TH ST APT 1507
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-1184
Practice Address - Country:US
Practice Address - Phone:310-462-6777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health