Provider Demographics
NPI:1720267388
Name:SOUTH TULARE COUNTY ONE STOP
Entity Type:Organization
Organization Name:SOUTH TULARE COUNTY ONE STOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL CLINICAL SERVICES DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OVERHOLT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:559-687-0929
Mailing Address - Street 1:177 W HENDERSON AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-1777
Mailing Address - Country:US
Mailing Address - Phone:559-784-0312
Mailing Address - Fax:
Practice Address - Street 1:177 W HENDERSON AVE STE 1
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-1777
Practice Address - Country:US
Practice Address - Phone:559-784-0312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINGS VIEW CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-31
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health