Basic Information
| Provider Information | |||||||||
| NPI: | 1518634815 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DR. ZERRI GROSS FAMILY COUNSELING INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 530 S LAKE AVE # 531 | ||||||||
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| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911013515 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8187927770 | ||||||||
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| Practice Location | |||||||||
| Address1: | 155 N LAKE AVE STE 800 | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911011857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8187927770 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2021 | ||||||||
| LastUpdateDate: | 02/02/2022 | ||||||||
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| AuthorizedOfficialLastName: | GROSS | ||||||||
| AuthorizedOfficialFirstName: | ZERRI | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8187927770 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | LMFT #94267 | ||||||||
| NPICertificationDate: | 02/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.