Provider Demographics
NPI:1417569393
Name:CLEANSING CONVERSATIONS
Entity Type:Organization
Organization Name:CLEANSING CONVERSATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:DONAHOE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-536-2564
Mailing Address - Street 1:3393 14TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-3857
Mailing Address - Country:US
Mailing Address - Phone:951-534-0044
Mailing Address - Fax:909-363-9385
Practice Address - Street 1:3393 14TH ST STE A
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3857
Practice Address - Country:US
Practice Address - Phone:951-534-0044
Practice Address - Fax:909-363-9385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty