Provider Demographics
NPI:1134935000
Name:THE CONSCIOUSNESS CENTER, AN INDIVIDUAL, MARRIAGE, AND FAMILY HOLISTIC
Entity type:Organization
Organization Name:THE CONSCIOUSNESS CENTER, AN INDIVIDUAL, MARRIAGE, AND FAMILY HOLISTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MBA, LMFT
Authorized Official - Phone:626-605-1785
Mailing Address - Street 1:PO BOX 8695
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92822-5695
Mailing Address - Country:US
Mailing Address - Phone:626-605-1785
Mailing Address - Fax:626-344-2160
Practice Address - Street 1:65 N MADISON AVE STE 707
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2046
Practice Address - Country:US
Practice Address - Phone:626-605-1785
Practice Address - Fax:626-344-2160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)