Provider Demographics
NPI:1396102125
Name:CAULFIELD COUNSELING AND EDUCATION INC.
Entity type:Organization
Organization Name:CAULFIELD COUNSELING AND EDUCATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CAULFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:760-320-3838
Mailing Address - Street 1:1111 E TAHQUITZ CANYON WAY
Mailing Address - Street 2:SUITE # B-117
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6788
Mailing Address - Country:US
Mailing Address - Phone:760-320-3838
Mailing Address - Fax:760-320-3733
Practice Address - Street 1:1111 E TAHQUITZ CANYON WAY
Practice Address - Street 2:SUITE # B-117
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6788
Practice Address - Country:US
Practice Address - Phone:760-320-3838
Practice Address - Fax:760-320-3733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT85729106H00000X
CALMFT83799106H00000X
CAIMF86343106H00000X
CALMFT14452106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty