Provider Demographics
NPI:1689468092
Name:BREA OLINDA COUNSELING CENTER
Entity type:Organization
Organization Name:BREA OLINDA COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHENG YI
Authorized Official - Middle Name:
Authorized Official - Last Name:YEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-914-8587
Mailing Address - Street 1:3723 CROOKED CREEK DR
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-3761
Mailing Address - Country:US
Mailing Address - Phone:734-604-0316
Mailing Address - Fax:
Practice Address - Street 1:330 E LAMBERT RD STE 278C
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-4138
Practice Address - Country:US
Practice Address - Phone:909-914-8587
Practice Address - Fax:909-529-8158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty