Provider Demographics
NPI:1740051713
Name:CARING CONVERSATIONS MARRIAGE AND FAMILY THERAPY INC
Entity type:Organization
Organization Name:CARING CONVERSATIONS MARRIAGE AND FAMILY THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNNETTE
Authorized Official - Last Name:SADEWATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-225-4150
Mailing Address - Street 1:11896 WELBY PL
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-6444
Mailing Address - Country:US
Mailing Address - Phone:562-225-4150
Mailing Address - Fax:
Practice Address - Street 1:11896 WELBY PL
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92557-6444
Practice Address - Country:US
Practice Address - Phone:562-225-4150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty