Provider Demographics
NPI:1891022059
Name:COUNSELING MINISTRIES
Entity Type:Organization
Organization Name:COUNSELING MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:HENEGAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:619-462-2277
Mailing Address - Street 1:4215 SPRING ST
Mailing Address - Street 2:SUITE 325
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7965
Mailing Address - Country:US
Mailing Address - Phone:619-462-2277
Mailing Address - Fax:619-462-2465
Practice Address - Street 1:4215 SPRING ST
Practice Address - Street 2:SUITE 325
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-7965
Practice Address - Country:US
Practice Address - Phone:619-462-2277
Practice Address - Fax:619-462-2465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC22959101YM0800X
CAMFC25362101YM0800X
CAPSY22459101YM0800X
CAPSY12374101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty