Provider Demographics
NPI:1659944460
Name:CODE 3 COUNSELING FOR FIRST RESPONDER MARRIAGE, INC.
Entity Type:Organization
Organization Name:CODE 3 COUNSELING FOR FIRST RESPONDER MARRIAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:CAVIN
Authorized Official - Last Name:SWEYD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:831-205-7144
Mailing Address - Street 1:183 FOREST AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-2683
Mailing Address - Country:US
Mailing Address - Phone:831-205-7144
Mailing Address - Fax:831-417-8731
Practice Address - Street 1:183 FOREST AVE STE 2
Practice Address - Street 2:
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-2683
Practice Address - Country:US
Practice Address - Phone:831-205-7144
Practice Address - Fax:831-417-8731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA115264OtherBOARD OF BEHAVIORAL SCIENCES