Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grape Street Community Restoration Inc

Organization Mental Health Counselor · NPI 1619742244

Grape Street Community Restoration Inc is a Mental Health Counselor in Los Angeles, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10139 Beach St Apt 26A-3
Los Angeles, CA 90002-2978
Phone: (323) 801-6071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619742244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sebastian Randolph — Clinical Mental Health Counselor · (602) 736-7383
NPI enumeratedNovember 27, 2023
Last updated in NPPESNovember 27, 2023
Certification dateNovember 25, 2023
Mailing address10139 Beach St Apt 26a-3, Los Angeles, CA 90002-2978

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