Provider Demographics
NPI:1821137381
Name:EARTH CIRCLES COUNSELING CENTER
Entity Type:Organization
Organization Name:EARTH CIRCLES COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:ANTOINETTE
Authorized Official - Last Name:BEYER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:510-601-0132
Mailing Address - Street 1:166 SANTA CLARA AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1323
Mailing Address - Country:US
Mailing Address - Phone:510-601-1929
Mailing Address - Fax:510-601-1947
Practice Address - Street 1:166 SANTA CLARA AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-1323
Practice Address - Country:US
Practice Address - Phone:510-601-1929
Practice Address - Fax:510-601-1947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty