Provider Demographics
NPI:1639598238
Name:CORC FAMILY COUNSELING CORPORATION
Entity Type:Organization
Organization Name:CORC FAMILY COUNSELING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:FERREIRO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-318-1351
Mailing Address - Street 1:224 W GRAHAM AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-3740
Mailing Address - Country:US
Mailing Address - Phone:951-318-1351
Mailing Address - Fax:951-318-1351
Practice Address - Street 1:27851 BRADLEY ROAD
Practice Address - Street 2:155
Practice Address - City:SUN CITY
Practice Address - State:CA
Practice Address - Zip Code:92586-2244
Practice Address - Country:US
Practice Address - Phone:951-318-1351
Practice Address - Fax:866-340-6736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty