Provider Demographics
NPI:1689316747
Name:SOLUTIONS FOR CHANGE MARRIAGE AND FAMILY THERAPY APC
Entity Type:Organization
Organization Name:SOLUTIONS FOR CHANGE MARRIAGE AND FAMILY THERAPY APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OCONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:858-442-5920
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92074-0208
Mailing Address - Country:US
Mailing Address - Phone:858-442-5920
Mailing Address - Fax:760-818-8808
Practice Address - Street 1:1901 1ST AVE STE 124
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-0300
Practice Address - Country:US
Practice Address - Phone:619-550-4010
Practice Address - Fax:619-269-8796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-10
Last Update Date:2022-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty