Mosley Counseling Center, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CAVIC2-790-081513B Issued in CA

Legal business name

MOSLEY COUNSELING CENTER, LLC

Practice address

2130 W. Arrowhead Ave.
Suite 103C
San Bernardino, CA 92405

Phone

(909) 723-8290

Fax

(909) 723-8290

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Lamar T Mosley, COUNSELOR

Title

Ceo

Phone

(909) 252-3183

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1952664021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 N. ARROWHEAD AVE",
            "address_2": "SUITE 103C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92405",
            "telephone_number": "909-723-8290",
            "fax_number": "909-723-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 W. ARROWHEAD AVE.",
            "address_2": "SUITE 103C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92405",
            "telephone_number": "909-723-8290",
            "fax_number": "909-723-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSLEY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "LAMAR",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-252-3183",
        "authorized_official_credential": "COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": "CAVIC2-790-081513B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Morrow, FNP
• Mark Randolph Morton, PH.D.
• Michael Kevin Morton, O.D.
• Steven Morua
• Ezekiel Moseley
• Christina Mosley
• La Keisha Yvette Mosley
• Sakari Moss
• Bryan Mota
• Mariana Concepcion Moualem, FNP

• Counselor in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.