1477999001 NPI number — EMOTIONAL HEALTH ASSOCIATION SHARE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477999001 NPI number — EMOTIONAL HEALTH ASSOCIATION SHARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EMOTIONAL HEALTH ASSOCIATION SHARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SHARE THE SELF- HELP AND RECOVERY EXCHANGE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477999001
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/29/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6666 GREEN VALLEY CIRCLE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CULVER CITY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90230
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-846-5270
Provider Business Mailing Address Fax Number:
310-846-5278

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
602 W HELLMAN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTEREY PARK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91754-1006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-846-5270
Provider Business Practice Location Address Fax Number:
310-846-5278
Provider Enumeration Date:
05/22/2013

Additional Information

Authorized Official

Authorized Official Last Name:
ULF
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
210-200-9605

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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