Individual ProviderChinda ThachCounselorBehavioral Health & Social Service ProvidersPractice Address514 W Pacific Coast Hwy, Long Beach, CA 90806-5237(562) 432-0713(562) 424-6105PECOS EnrollmentBased on the most recent information from CMS, provider Chinda Thach does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1508235631Provider TypeIndividualFull NameThach, ChindaGenderFemaleSole ProprietorYesEnumeration Date9/18/2015Last Updated7/22/2025Contact InformationPractice LocationPractice Address514 W Pacific Coast Hwy, Long Beach, CA 90806-5237Phone(562) 432-0713Fax(888) 972-3617Mailing LocationMailing Address2501 Atlantic Ave, Long Beach, CA 90806-2708Phone(562) 424-6105FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseASW77879CaliforniaCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer