Provider Demographics
NPI:1518594894
Name:CATALYST FAMILY COUNSELING SERVICES, INC
Entity Type:Organization
Organization Name:CATALYST FAMILY COUNSELING SERVICES, INC
Other - Org Name:CATALYST COUNSELING, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NIK
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-702-3828
Mailing Address - Street 1:918 15TH ST
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95354-1115
Mailing Address - Country:US
Mailing Address - Phone:209-727-2646
Mailing Address - Fax:209-727-4948
Practice Address - Street 1:918 15TH ST
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354-1115
Practice Address - Country:US
Practice Address - Phone:209-727-2646
Practice Address - Fax:209-727-4948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-25
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty