Provider Demographics
NPI:1366929895
Name:SYNERGY COUNSELING ASSOCIATES
Entity type:Organization
Organization Name:SYNERGY COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:562-450-0620
Mailing Address - Street 1:12440 FIRESTONE BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-9323
Mailing Address - Country:US
Mailing Address - Phone:562-450-0620
Mailing Address - Fax:562-366-8423
Practice Address - Street 1:12440 FIRESTONE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-9323
Practice Address - Country:US
Practice Address - Phone:562-450-0620
Practice Address - Fax:562-366-8423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT46641106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty