Provider Demographics
NPI:1821688532
Name:SANDBOX FAMILY SERVICES COUNSELING PROFESSIONALS
Entity Type:Organization
Organization Name:SANDBOX FAMILY SERVICES COUNSELING PROFESSIONALS
Other - Org Name:SANDBOX FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAZMINE
Authorized Official - Middle Name:ORTIZ
Authorized Official - Last Name:ULIBARRI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:626-513-1801
Mailing Address - Street 1:595 E COLORADO BLVD STE 433
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2057
Mailing Address - Country:US
Mailing Address - Phone:626-578-5501
Mailing Address - Fax:
Practice Address - Street 1:595 E COLORADO BLVD STE 433
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2057
Practice Address - Country:US
Practice Address - Phone:626-578-5501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty