Provider Demographics
NPI:1386029874
Name:PASO ROBLES COUNSELING AND THERAPY
Entity Type:Organization
Organization Name:PASO ROBLES COUNSELING AND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEASON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:805-610-4159
Mailing Address - Street 1:1140 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2532
Mailing Address - Country:US
Mailing Address - Phone:805-237-0992
Mailing Address - Fax:805-237-0993
Practice Address - Street 1:1140 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-2532
Practice Address - Country:US
Practice Address - Phone:805-237-0992
Practice Address - Fax:805-237-0993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS282571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty