Provider Demographics
NPI:1629881529
Name:SILVER LINING PSYCHOLOGY
Entity type:Organization
Organization Name:SILVER LINING PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEINA
Authorized Official - Middle Name:RHIANA
Authorized Official - Last Name:LINEBARGER
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:619-540-4111
Mailing Address - Street 1:646 SUTTON WAY # 1019
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-5392
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7005 N LAKE BLVD STE 166
Practice Address - Street 2:
Practice Address - City:TAHOE VISTA
Practice Address - State:CA
Practice Address - Zip Code:96148-9800
Practice Address - Country:US
Practice Address - Phone:310-428-3399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty