MISS BRENDA RENEE LOGAN (NPI# 1558544635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558544635 |
| Entity Type | Individual |
| Full Name | MISS BRENDA RENEE LOGAN |
| Credential | LMFT, CEAP |
| Practice Address |
1225 W 190th St Suite 310 Gardena CA 90248-4320 |
| Mailing Address |
Po Box 513283 Los Angeles CA 90051-1283 |
| Practice Telephone | 3237537763 |
| Practice Fax Number | 3105385518 |
| Mailing Telephone | 3237918305 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFT 45015 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497081715 | Brenda Logan | Counselor | 914 E Broadway, 3rd Floor, Louisville, KY 40204-1037 | 2009-10-21 |
| Street Address |
1225 W 190TH ST SUITE 310 |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598716011 | Aruna R Patil | Anesthesiology | 1225 W 190th St, Suite 205, Gardena, CA 90248-4320 | 2006-05-12 |
| 1821606716 | Hye Young Yoon | Nurse Practitioner | 1225 W 190th St, Gardena, CA 90248-4320 | 2020-07-16 |
| 1346796851 | Claudia Solorzano | Psychologist | 1225 W 190th St, Ste 200, Gardena, CA 90248-4320 | 2016-08-26 |
| 1801245121 | Andrea Sczesny | Nurse Practitioner | 1225 W 190th St, Suite 470, Gardena, CA 90248-4320 | 2016-06-07 |
| 1295102630 | Sabath & Associates | Psychologist | 1225 W 190th St, Suite 220, Gardena, CA 90248-4320 | 2015-09-01 |
| 1306241526 | Tamiko D Love | Social Worker | 1225 W 190th St, Suite 310, Gardena, CA 90248-4320 | 2014-10-30 |
| 1417373713 | Ehab Yacoub Md Inc. | Psychiatry & Neurology | 1225 W 190th St, Suite 470, Gardena, CA 90248-4320 | 2014-03-11 |
| 1386949030 | Brittany Jenkins | Counselor | 1225 W 190th St, Suite 455h, Gardena, CA 90248-4320 | 2011-01-11 |
| 1700055753 | Sabath & Associates | Non-Pharmacy Dispensing Site | 1225 W 190th St, Ste #220, Gardena, CA 90248-4320 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366893935 | Jehrel Andre Bruno | Counselor | 15537 Lemoli Ave, Gardena, CA 90249-4459 | 2016-06-24 |
| 1780058552 | Unique Hayes | Counselor | 18220 S Broadway, Gardena, CA 90248-3534 | 2015-11-17 |
| 1053723866 | Samantha Chhim Maeda | Counselor | 1331 1/2 W 168th St # B, Gardena, CA 90247-5509 | 2014-05-28 |
| 1154523082 | Barra Jones | Counselor | 1428 W 145th St Apt 18, Gardena, CA 90247-2446 | 2007-06-04 |
| 1629286166 | Laura Mejia | Counselor | 130 W. Victoria, Gardena, CA 90248 | 2007-05-18 |
| 1366089716 | Flor Argueta | Counselor | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-12-04 |
| 1295383560 | Ernesto Antonio Parada | Counselor | 108 W Victoria St, Gardena, CA 90248-3523 | 2019-08-29 |
| 1063988517 | Viviana Pereyra | Counselor | 108 W Victoria St, Gardena, CA 90248-3523 | 2018-10-22 |
| 1336629443 | Jose Andres Beltran Jr. | Counselor | 108 W Victoria St, Gardena, CA 90248-3523 | 2018-08-17 |
| 1831679489 | Mailynn Tran | Counselor | 108 W Victoria St, Gardena, CA 90248 | 2018-08-14 |
| Find all providers in GARDENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.