Provider Demographics
NPI:1033594163
Name:COMPREHENSIVE THERAPY APPROACH, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE THERAPY APPROACH, INC.
Other - Org Name:NORTH PARK COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:619-283-5665
Mailing Address - Street 1:3537 BOUNDARY ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-4332
Mailing Address - Country:US
Mailing Address - Phone:619-283-5665
Mailing Address - Fax:619-283-1284
Practice Address - Street 1:3537 BOUNDARY ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-4332
Practice Address - Country:US
Practice Address - Phone:619-283-5665
Practice Address - Fax:619-283-1284
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPREHENSIVE THERAPY APPROACH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW137731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW13773Medicare UPIN