Provider Demographics
NPI:1336011048
Name:SEEDS SOCIAL EMOTIONAL EDUCATION AND DEVELOPMENT OF SELF LLC
Entity type:Organization
Organization Name:SEEDS SOCIAL EMOTIONAL EDUCATION AND DEVELOPMENT OF SELF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-307-0028
Mailing Address - Street 1:57 VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-4242
Mailing Address - Country:US
Mailing Address - Phone:510-852-2295
Mailing Address - Fax:
Practice Address - Street 1:57 VILLAGE CIR
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-4242
Practice Address - Country:US
Practice Address - Phone:510-852-2295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency