Provider Demographics
NPI:1558895920
Name:ABIDE COUNSELING
Entity Type:Organization
Organization Name:ABIDE COUNSELING
Other - Org Name:AMY D NISTOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:D
Authorized Official - Last Name:NISTOR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:916-807-4136
Mailing Address - Street 1:1340 BLUE OAKS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-7035
Mailing Address - Country:US
Mailing Address - Phone:916-807-4136
Mailing Address - Fax:916-200-0450
Practice Address - Street 1:1340 BLUE OAKS BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-7035
Practice Address - Country:US
Practice Address - Phone:916-807-4136
Practice Address - Fax:916-200-0450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty