Provider Demographics
NPI:1023759024
Name:CANYON CONSULTING GROUP
Entity type:Organization
Organization Name:CANYON CONSULTING GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANELA
Authorized Official - Middle Name:G
Authorized Official - Last Name:RICHIE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-488-8400
Mailing Address - Street 1:22663 BUTTERCUP PL
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-7818
Mailing Address - Country:US
Mailing Address - Phone:951-488-8400
Mailing Address - Fax:
Practice Address - Street 1:31630 RAILROAD CANYON RD STE 2A
Practice Address - Street 2:
Practice Address - City:CANYON LAKE
Practice Address - State:CA
Practice Address - Zip Code:92587-9478
Practice Address - Country:US
Practice Address - Phone:951-485-3357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty