Provider Demographics
NPI:1649537234
Name:SYNC COUNSELING CENTER, INC.
Entity type:Organization
Organization Name:SYNC COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, MFT 31636
Authorized Official - Phone:626-802-5493
Mailing Address - Street 1:482 N ROSEMEAD BLVD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3053
Mailing Address - Country:US
Mailing Address - Phone:626-802-5490
Mailing Address - Fax:626-466-1199
Practice Address - Street 1:482 N ROSEMEAD BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3053
Practice Address - Country:US
Practice Address - Phone:626-802-5490
Practice Address - Fax:626-466-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT31636102L00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty