Provider Demographics
NPI:1295029395
Name:TALK IT OUT RELATIONSHIP EDUCATION SERVICES, INC.
Entity Type:Organization
Organization Name:TALK IT OUT RELATIONSHIP EDUCATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:LILLIAN
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:MAOM
Authorized Official - Phone:916-773-1131
Mailing Address - Street 1:1221 PLEASANT GROVE BLVD
Mailing Address - Street 2:AUITE 120
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-6986
Mailing Address - Country:US
Mailing Address - Phone:916-773-1131
Mailing Address - Fax:916-773-1145
Practice Address - Street 1:1221 PLEASANT GROVE BLVD
Practice Address - Street 2:AUITE 120
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-6986
Practice Address - Country:US
Practice Address - Phone:916-773-1131
Practice Address - Fax:916-773-1145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251500000X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health