Provider Demographics
NPI:1073290151
Name:PSYCHOTHERAPY SOLUTIONS
Entity Type:Organization
Organization Name:PSYCHOTHERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPSIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRACANE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:951-923-2510
Mailing Address - Street 1:473 E CARNEGIE DR
Mailing Address - Street 2:SUITE #200
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408
Mailing Address - Country:US
Mailing Address - Phone:909-640-3246
Mailing Address - Fax:
Practice Address - Street 1:473 E CARNEGIE DR
Practice Address - Street 2:SUITE # 200
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408
Practice Address - Country:US
Practice Address - Phone:909-640-3246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty