Provider Demographics
NPI:1689331027
Name:B&R COUNSELING SERVICES
Entity Type:Organization
Organization Name:B&R COUNSELING SERVICES
Other - Org Name:B&R COUNSELING SERVICES BENJAMIN REISIN GEN PTR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MARRIAGE & FAMILY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:REISIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:760-960-5205
Mailing Address - Street 1:266 W PLAYA DEL CARMEN
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251-8858
Mailing Address - Country:US
Mailing Address - Phone:760-960-5250
Mailing Address - Fax:
Practice Address - Street 1:266 W PLAYA DEL CARMEN
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:CA
Practice Address - Zip Code:92251-8858
Practice Address - Country:US
Practice Address - Phone:760-960-5250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty