12 South LLC
12 South LLC is an Addiction (Substance Use Disorder) Counselor in Lake Forest, California. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
23712 Birtcher DrLake Forest, CA 92630
Phone: (888) 830-8374
Fax: (949) 215-6650
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Marriage & Family Therapist | Taxonomy 106H00000X |
Record details
| NPI number | 1154789766 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kyle Smith — Ceo/Owner · (888) 830-8374 |
| Other names | 12 South Recovery |
| NPI enumerated | February 10, 2016 |
| Last updated in NPPES | November 2, 2022 |
| Certification date | November 2, 2022 |
| Mailing address | 23712 Birtcher Drive, Lake Forest, CA 92630 |
Other providers in Lake Forest
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Donna Marie Brunetti, LPCC, LMHC, LPC
3235 Lupine, Lake Forest, CA 92630-8442 · (845) 406-7245
-
Bridget Chadwick, CADC-I
24016 Elrond Ln, Lake Forest, CA 92630-3649 · (520) 304-5958
-
Mr. Eric Salvador Coronado
21011 Osterman Rd Apt A204, Lake Forest, CA 92630-7912 · (949) 434-7759
-
Miss. Cherie Knopf, ADMINISTRATOR
26115 Sally Dr, Lake Forest, CA 92630-5540 · (949) 916-4304