Provider Demographics
NPI:1255909099
Name:COUNSELING FOR THE BODY, MIND AND SPIRIT
Entity type:Organization
Organization Name:COUNSELING FOR THE BODY, MIND AND SPIRIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:NANCY
Authorized Official - Last Name:ZAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:415-971-6438
Mailing Address - Street 1:892 20TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-3351
Mailing Address - Country:US
Mailing Address - Phone:415-971-6438
Mailing Address - Fax:
Practice Address - Street 1:870 MARKET ST STE 480
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3013
Practice Address - Country:US
Practice Address - Phone:415-971-6438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty