Provider Demographics
NPI:1629593736
Name:GUIDED RECOVERY COUNSELING, INC.
Entity Type:Organization
Organization Name:GUIDED RECOVERY COUNSELING, INC.
Other - Org Name:MARTHA CHAPA, LMFT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:CAROLINA
Authorized Official - Last Name:CHAPA-PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-338-9769
Mailing Address - Street 1:31162 RIVERTON LN
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-7038
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41690 ENTERPRISE CIR N STE 100
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5617
Practice Address - Country:US
Practice Address - Phone:951-338-9769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-09
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48827106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty