Organization · Type 2 NPI

Teugbyeolhan, Licensed Clinical Social Worker, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Redondo Beach, CA

NPI number 1770172371 Active

Practice location

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

Call (626) 665-2557 Map

Mailing address

553 N Pacific Coast Hwy Ste 337B
Redondo Beach, CA 90277-2105

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

The TBH Movement, Inc.Mental Health Clinic/Center (Including Community Mental Health Center) Redondo Beach, CA NPI 1407649247

Other mental health clinic/center (including community mental health center) providers in Redondo Beach

See all in Redondo Beach →

NPI record

NPI: 1770172371
Entity type: Organization (Type 2)
Issued: Jan 18, 2021
Last updated: Jun 3, 2025
Status: Active

Other names

<unavail>
TBH Therapy & Life Coaching Services · doing business as
TBH Therapy & Life Coaching Services · doing business as

Authorized official

Fonda Tokushige, LCSW
CEO
(424) 262-2454

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1770172371

Teugbyeolhan, Licensed Clinical Social Worker, Inc.'s National Provider Identifier is 1770172371, issued on Jan 18, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Redondo Beach, CA. The record was last updated on Jun 3, 2025.