Provider Demographics
NPI:1578337440
Name:VEDA COUNSELING
Entity Type:Organization
Organization Name:VEDA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:JACQUELINE
Authorized Official - Last Name:LOPEZ-DOWREY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:760-610-6725
Mailing Address - Street 1:78150 CALLE TAMPICO STE 200L
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-2907
Mailing Address - Country:US
Mailing Address - Phone:760-610-6725
Mailing Address - Fax:760-564-0369
Practice Address - Street 1:78150 CALLE TAMPICO STE 200L
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-2907
Practice Address - Country:US
Practice Address - Phone:760-610-6725
Practice Address - Fax:760-564-0369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)