Provider Demographics
NPI:1598300642
Name:WISE MIND COUNSELING SERVICES INC.
Entity Type:Organization
Organization Name:WISE MIND COUNSELING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IVANNA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:ARTAVIA-TURCKEL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:951-432-5140
Mailing Address - Street 1:3370 ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-2820
Mailing Address - Country:US
Mailing Address - Phone:951-432-5140
Mailing Address - Fax:
Practice Address - Street 1:11801 PIERCE ST STE 200
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-4400
Practice Address - Country:US
Practice Address - Phone:951-432-5140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty