Provider Demographics
NPI:1164453445
Name:REFORMED CHRISTIAN COUNSELING
Entity type:Organization
Organization Name:REFORMED CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LEMMO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MFT
Authorized Official - Phone:714-841-0021
Mailing Address - Street 1:17301 BEACH BLVD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-5930
Mailing Address - Country:US
Mailing Address - Phone:714-841-0021
Mailing Address - Fax:714-841-0031
Practice Address - Street 1:17301 BEACH BLVD
Practice Address - Street 2:SUITE 11
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-5930
Practice Address - Country:US
Practice Address - Phone:714-841-0021
Practice Address - Fax:714-841-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41721106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty