Provider Demographics
NPI:1215178942
Name:SYNERGIS COUNSELING, PSYCHOTHERAPY AND CONSULTING
Entity Type:Organization
Organization Name:SYNERGIS COUNSELING, PSYCHOTHERAPY AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COSMIN
Authorized Official - Middle Name:ION
Authorized Official - Last Name:GHEORGHE
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:415-279-8240
Mailing Address - Street 1:353 KEARNY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-3227
Mailing Address - Country:US
Mailing Address - Phone:415-279-8240
Mailing Address - Fax:
Practice Address - Street 1:353 KEARNY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-3227
Practice Address - Country:US
Practice Address - Phone:415-279-8240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42242106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty