Provider Demographics
NPI:1235021676
Name:AMAZING YOU SERVICES, APC-LICENSED CLINICAL SOCIAL WORKER
Entity type:Organization
Organization Name:AMAZING YOU SERVICES, APC-LICENSED CLINICAL SOCIAL WORKER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:909-498-6655
Mailing Address - Street 1:27845 STRATFORD ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346-3373
Mailing Address - Country:US
Mailing Address - Phone:909-498-6655
Mailing Address - Fax:
Practice Address - Street 1:1430 E COOLEY DR STE 220
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3970
Practice Address - Country:US
Practice Address - Phone:909-498-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty