Provider Demographics
NPI:1275730715
Name:THE NELSON WEBLEY CORPORATION
Entity Type:Organization
Organization Name:THE NELSON WEBLEY CORPORATION
Other - Org Name:ASSOCIATES IN COUNSELING
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FESTUS
Authorized Official - Middle Name:O
Authorized Official - Last Name:WEBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, BCD
Authorized Official - Phone:951-789-2000
Mailing Address - Street 1:7381 CORINTHIAN WAY
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-5699
Mailing Address - Country:US
Mailing Address - Phone:951-789-2000
Mailing Address - Fax:951-789-2000
Practice Address - Street 1:5015 CANYON CREST DR
Practice Address - Street 2:STE 106
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-6000
Practice Address - Country:US
Practice Address - Phone:951-789-2000
Practice Address - Fax:951-789-2000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty