Provider Demographics
NPI:1649374398
Name:EDEN COUNSELING SERVICES
Entity type:Organization
Organization Name:EDEN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:510-247-9831
Mailing Address - Street 1:20253 REDWOOD RD
Mailing Address - Street 2:#A
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546
Mailing Address - Country:US
Mailing Address - Phone:510-247-9831
Mailing Address - Fax:510-247-9825
Practice Address - Street 1:20253 REDWOOD RD
Practice Address - Street 2:#A
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-4331
Practice Address - Country:US
Practice Address - Phone:510-247-9831
Practice Address - Fax:510-247-9825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty