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GRAPE STREET COMMUNITY RESTORATION INC.
NPI 1619742244
Counselor - Mental Health in Los Angeles, CA

Active since November 27, 2023
10139 BEACH ST APT 26A-3, LOS ANGELES, CA 90002(323) 801-6071 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Grape Street Community Restoration Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAPE STREET COMMUNITY RESTORATION INC. (NPI 1619742244) is a healthcare organization registered as a mental health in Los Angeles, California and active in the NPI registry since November 2023. The organization lists Sebastian Dee Randolph, Clinical Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1619742244
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameGRAPE STREET COMMUNITY RESTORATION INC.
Location Address10139 BEACH ST APT 26A-3Los Angeles, CA 90002-2978
Mailing Address10139 Beach St Apt 26a-3Los Angeles, CA 90002-2978 · (323) 801-6071
Phone(323) 801-6071
Organization SubpartNo
Authorized OfficialSebastian Dee RandolphClinical Mental Health Counselor · (602) 736-7383
Enumeration DateNovember 27, 2023
NPPES CertifiedNovember 25, 2023
✔ NPI 1619742244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10139 BEACH ST APT 26A-3, Los Angeles, CA 90002
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grape Street Community Restoration Inc.'s NPI number?

The NPI number for Grape Street Community Restoration Inc. is 1619742244. It was assigned to this organization in the NPPES registry on November 27, 2023.

Where is Grape Street Community Restoration Inc. located?

Grape Street Community Restoration Inc. is located at 10139 Beach St Apt 26a-3, Los Angeles, CA 90002. The listed phone number is (323) 801-6071.

What is Grape Street Community Restoration Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Grape Street Community Restoration Inc. was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.