Provider Demographics
NPI:1811437874
Name:MENTAL HEALTH ASSOCIATION OF ORANGE COUNTY
Entity type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION OF ORANGE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBASSI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, EDD, MFTI
Authorized Official - Phone:714-638-8277
Mailing Address - Street 1:12755 BROOKHURST ST STE 116
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-4855
Mailing Address - Country:US
Mailing Address - Phone:714-638-8277
Mailing Address - Fax:714-638-8343
Practice Address - Street 1:12755 BROOKHURST ST STE 116
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-4855
Practice Address - Country:US
Practice Address - Phone:714-638-8277
Practice Address - Fax:714-638-8343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73780251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health