Provider Demographics
NPI:1245703255
Name:CHARISON COUNSELING
Entity type:Organization
Organization Name:CHARISON COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SILVANA
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:CHARISON
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:949-424-3084
Mailing Address - Street 1:4000 MACARTHUR BVD SUITE 600 EAST TOWER
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660
Mailing Address - Country:US
Mailing Address - Phone:949-424-3084
Mailing Address - Fax:
Practice Address - Street 1:4000 MACARTHUR BVD SUITE 600 EAST TOWER
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:949-424-3084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1295874121OtherINDIVIDUAL NPI