Teugbyeolhan, Licensed Clinical Social Worker, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TEUGBYEOLHAN, LICENSED CLINICAL SOCIAL WORKER, INC.

Practice address

1611 S Pacific Coast Hwy Ste 205a
Redondo Beach, CA 90277-5611

Phone

(626) 665-2557

NPI assigned

Jan 18, 2021

Organization subpart

No

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

Authorized official

Name

Fonda Tokushige, LCSW

Title

Ceo

Phone

(424) 262-2454

Specialties & licenses 2

Addresses

Other names 1

• TBH Therapy & Life Coaching Services Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1770172371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 N PACIFIC COAST HWY STE 337B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772105",
            "telephone_number": "626-665-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S PACIFIC COAST HWY STE 205A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775611",
            "telephone_number": "626-665-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEUGBYEOLHAN, LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2025-06-03",
        "certification_date": "2025-05-24",
        "status": "A",
        "authorized_official_last_name": "TOKUSHIGE",
        "authorized_official_first_name": "FONDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-262-2454",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fonda@tbhtherapylcs.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA complaint email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "553 N Pacific Coast Hwy Ste 337B",
            "city": "Redondo Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902772105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TBH Therapy & Life Coaching Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TBH Therapy & Life Coaching Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Tchakalian
• Michael Allan Tebo, D.C.
• Rita Tenenbaum, M.D.
• Connie Teng, MD
• Trevessa M. Terrile, MFTI
• The Cliff at Redondo Beach, Inc.
• The Mother Nurture Center
• The Neurobehavioral Healthcare Center, a Professional Psychological Co
• The TBH Movement, Inc.
• Thelanutritionist Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.