Provider Demographics
NPI:1174635460
Name:ROBERT & JOYCE SIMPSON FAMILY COUNSELING PROFESSIONAL CORP
Entity Type:Organization
Organization Name:ROBERT & JOYCE SIMPSON FAMILY COUNSELING PROFESSIONAL CORP
Other - Org Name:THE SELF CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA MFT
Authorized Official - Phone:714-997-9600
Mailing Address - Street 1:18671 ALLEGHENY DRIVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-2104
Mailing Address - Country:US
Mailing Address - Phone:714-997-9600
Mailing Address - Fax:714-997-9607
Practice Address - Street 1:18671 ALLEGHENY DRIVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-2104
Practice Address - Country:US
Practice Address - Phone:714-997-9600
Practice Address - Fax:714-997-9607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC8859106H00000X
CAMFC8858106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty