Provider Demographics
NPI:1922641760
Name:TRIBUTE COUNSELING & PSYCHOTHERAPY SERVICES
Entity Type:Organization
Organization Name:TRIBUTE COUNSELING & PSYCHOTHERAPY SERVICES
Other - Org Name:TRIBUTE CPS
Other - Org Type:Other Name
Authorized Official - Title/Position:STAFF
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-927-1284
Mailing Address - Street 1:29140 DIABLO PL
Mailing Address - Street 2:
Mailing Address - City:CASTAIC
Mailing Address - State:CA
Mailing Address - Zip Code:91384-3544
Mailing Address - Country:US
Mailing Address - Phone:818-927-1284
Mailing Address - Fax:
Practice Address - Street 1:9017 RESEDA BLVD STE 204
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3985
Practice Address - Country:US
Practice Address - Phone:818-927-1284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2021-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty