Provider Demographics
NPI:1073248597
Name:KCE FAMILY INC.
Entity Type:Organization
Organization Name:KCE FAMILY INC.
Other - Org Name:RESILIENCE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LMFT/CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KIAVASH
Authorized Official - Middle Name:
Authorized Official - Last Name:EBADAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-799-7893
Mailing Address - Street 1:39485 REGENCY WAY
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-7109
Mailing Address - Country:US
Mailing Address - Phone:408-799-7893
Mailing Address - Fax:
Practice Address - Street 1:39485 REGENCY WAY
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-7109
Practice Address - Country:US
Practice Address - Phone:408-799-7893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)