Provider Demographics
NPI:1225639495
Name:BRINGING MEDICINE CULTURALLY COMPETENT COUNSELING AND INDIGENOUS
Entity Type:Organization
Organization Name:BRINGING MEDICINE CULTURALLY COMPETENT COUNSELING AND INDIGENOUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LMFT
Authorized Official - Phone:530-307-0101
Mailing Address - Street 1:210 ELYSIAN PLACE
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945
Mailing Address - Country:US
Mailing Address - Phone:530-307-0101
Mailing Address - Fax:
Practice Address - Street 1:206 SACRAMENTO ST SUITE 212
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:CA
Practice Address - Zip Code:95959
Practice Address - Country:US
Practice Address - Phone:530-307-0101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty