Provider Demographics
NPI:1952077570
Name:ABOVEBOARD CONSULTING & MARRIAGE COUNSELING SERVICES, INC
Entity Type:Organization
Organization Name:ABOVEBOARD CONSULTING & MARRIAGE COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-232-2450
Mailing Address - Street 1:5880 FAIR ISLE DR APT 275
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-8462
Mailing Address - Country:US
Mailing Address - Phone:951-232-2450
Mailing Address - Fax:
Practice Address - Street 1:5880 FAIR ISLE DR APT 275
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-8462
Practice Address - Country:US
Practice Address - Phone:951-232-2450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty