Provider Demographics
NPI:1003540774
Name:PINHEIRO, EUGENIA
Entity Type:Individual
Prefix:MRS
First Name:EUGENIA
Middle Name:
Last Name:PINHEIRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14201 KENTWOOD BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-2472
Mailing Address - Country:US
Mailing Address - Phone:760-253-1834
Mailing Address - Fax:760-267-9109
Practice Address - Street 1:14201 KENTWOOD BLVD STE 2
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-2472
Practice Address - Country:US
Practice Address - Phone:760-253-1834
Practice Address - Fax:760-267-9109
Is Sole Proprietor?:No
Enumeration Date:2022-07-10
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8475101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health