Provider Demographics
NPI:1104500057
Name:CURIOSITY CENTER PROFESSIONAL CLINICAL COUNSELOR SERVICES PC
Entity type:Organization
Organization Name:CURIOSITY CENTER PROFESSIONAL CLINICAL COUNSELOR SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PYAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHATRI
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:650-530-0490
Mailing Address - Street 1:PO BOX 2349
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-0049
Mailing Address - Country:US
Mailing Address - Phone:650-530-0490
Mailing Address - Fax:
Practice Address - Street 1:2108 N ST STE 5934
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5712
Practice Address - Country:US
Practice Address - Phone:650-530-0490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty