Executive & Life Coaching, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS18531 Issued in CA

Legal business name

EXECUTIVE & LIFE COACHING, INC.

Practice address

44709 Date Ave
Lancaster, CA 93534-3101

Phone

(866) 726-7881

Fax

(661) 940-9317

NPI assigned

Sep 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Colbert Bernard Williams Sr., M.S.W., L.C.S.W.NPI 1366638678

Title

Psychotherapist/President

Phone

(866) 726-7881

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colbert Bernard Williams Sr., M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Lancaster, CA
  • NPI 1366638678
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1306031257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 E OLDFIELD ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351727",
            "telephone_number": "866-726-7881",
            "fax_number": "661-940-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44709 DATE AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343101",
            "telephone_number": "866-726-7881",
            "fax_number": "661-940-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE & LIFE COACHING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "COLBERT",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "866-726-7881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.S.W., L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS18531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B.B.S.",
            "identifier": "LCS18531",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everlasting Healthcare
• Everlasting Transport, LLC
• Everside Health-Lancaster
• Every Woman Obstetrics & Gynecology Inc
• Excellent Home Care, LLC.
• Express Hospice Care
• Eyes of Hope Corp
• F & F Helping Hands Inc
• F & F Helping Hands Inc
• Edwinnette Faison

• Community/Behavioral Health Agency in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.