Provider Demographics
NPI:1346024817
Name:PLACE OF PRESERVATION HOLISTIC FAMILY COUNSELING
Entity Type:Organization
Organization Name:PLACE OF PRESERVATION HOLISTIC FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIEF EXECUTIVE OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:MARASHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:661-301-9035
Mailing Address - Street 1:6600 PINE BOROUGH CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-4186
Mailing Address - Country:US
Mailing Address - Phone:661-431-2756
Mailing Address - Fax:
Practice Address - Street 1:5701 TRUXTUN AVE STE 220
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0402
Practice Address - Country:US
Practice Address - Phone:661-431-2756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty