Provider Demographics
NPI:1841411295
Name:CENTER FOR SPIRITUAL PSYCHOLOGY
Entity Type:Organization
Organization Name:CENTER FOR SPIRITUAL PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER AND MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVEJOY
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:7604-361-3011
Mailing Address - Street 1:108 S DARIEN DR
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4235
Mailing Address - Country:US
Mailing Address - Phone:760-436-1301
Mailing Address - Fax:760-943-9244
Practice Address - Street 1:108 S DARIEN DR
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4235
Practice Address - Country:US
Practice Address - Phone:760-436-1301
Practice Address - Fax:760-943-9244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 28569106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty