Provider Demographics
NPI:1558823773
Name:THE PSYCHOLOGICAL CENTER FOR ANXIETY RELIEF INC
Entity Type:Organization
Organization Name:THE PSYCHOLOGICAL CENTER FOR ANXIETY RELIEF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER AND DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVISH
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:415-234-7350
Mailing Address - Street 1:870 MARKET ST
Mailing Address - Street 2:SUITE 863
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102
Mailing Address - Country:US
Mailing Address - Phone:415-370-3622
Mailing Address - Fax:
Practice Address - Street 1:870 MARKET ST
Practice Address - Street 2:SUITE 863
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:415-370-3622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty