Provider Demographics
NPI:1386204279
Name:THE CENTER FOR COUNSELING AND EDUCATION
Entity Type:Organization
Organization Name:THE CENTER FOR COUNSELING AND EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:TAPIA
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMLMFT
Authorized Official - Phone:760-880-4334
Mailing Address - Street 1:1111 E TAHQUITZ CANYON WAY STE B-117
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6788
Mailing Address - Country:US
Mailing Address - Phone:760-880-4334
Mailing Address - Fax:760-320-3733
Practice Address - Street 1:1111 E TAHQUITZ CANYON WAY STE B117
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6788
Practice Address - Country:US
Practice Address - Phone:760-880-4334
Practice Address - Fax:760-320-3733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALMFT101189OtherLMFT LICENSE
CALMFT83799OtherLMFT LICENSE
CALMFT51938OtherLMFT LICENSE
CALMFT14452OtherLMFT LICENSE
CALMFT85729OtherLMFT LICENSE
CALMFT48353OtherLMFT LICENSE