Provider Demographics
NPI:1972552149
Name:BINNS, TONI MICHELLE (LMFT)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:MICHELLE
Last Name:BINNS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1030
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92564-1030
Mailing Address - Country:US
Mailing Address - Phone:951-696-7168
Mailing Address - Fax:951-696-5156
Practice Address - Street 1:41690 ENTERPRISE CIR N
Practice Address - Street 2:106
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5616
Practice Address - Country:US
Practice Address - Phone:951-696-7168
Practice Address - Fax:951-696-5156
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39916106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33GBIAMedicaid
CA20132261701Medicaid
CA33GB8AMedicaid
CA33GB8AMedicaid