Provider Demographics
NPI:1023865888
Name:GENTLE GUIDANCE COUNSELING SERVICES
Entity type:Organization
Organization Name:GENTLE GUIDANCE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SORTO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:323-313-5747
Mailing Address - Street 1:43751 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-5004
Mailing Address - Country:US
Mailing Address - Phone:323-313-5747
Mailing Address - Fax:
Practice Address - Street 1:43751 BEECH AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-5004
Practice Address - Country:US
Practice Address - Phone:323-313-5747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty