Provider Demographics
NPI:1811404684
Name:BRIEF AND STRATEGIC COUNSELING SERVICE
Entity Type:Organization
Organization Name:BRIEF AND STRATEGIC COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER / THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:ROBESON
Authorized Official - Last Name:EASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:707-246-2117
Mailing Address - Street 1:843 CHARDONNAY CIR.
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952
Mailing Address - Country:US
Mailing Address - Phone:707-246-2117
Mailing Address - Fax:
Practice Address - Street 1:843 CHARDONNAY CIR.
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952
Practice Address - Country:US
Practice Address - Phone:707-246-2117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty