Provider Demographics
NPI:1982587960
Name:PARENT SUPPORTED CHILDREN SERVICES
Entity type:Organization
Organization Name:PARENT SUPPORTED CHILDREN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHENELL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-487-5705
Mailing Address - Street 1:44339 BEECH AVE STE 17
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4303
Mailing Address - Country:US
Mailing Address - Phone:888-487-5705
Mailing Address - Fax:
Practice Address - Street 1:44339 BEECH AVE STE 17
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4303
Practice Address - Country:US
Practice Address - Phone:888-487-5705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARENT SUPPORTED CHILDREN SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health