Provider Demographics
NPI:1033995055
Name:STEFANIE ZARGARBASHI LICENSED CLINICAL SOCIAL WORKER SERVICES CORP.
Entity Type:Organization
Organization Name:STEFANIE ZARGARBASHI LICENSED CLINICAL SOCIAL WORKER SERVICES CORP.
Other - Org Name:ABRIDGE TO HEALING COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARGARBASHI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:949-542-5105
Mailing Address - Street 1:13 WAXWING LN
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-1797
Mailing Address - Country:US
Mailing Address - Phone:949-542-5105
Mailing Address - Fax:
Practice Address - Street 1:13 WAXWING LN
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656
Practice Address - Country:US
Practice Address - Phone:949-542-5105
Practice Address - Fax:949-552-5243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health