Provider Demographics
NPI:1912511346
Name:SOCAL THERAPYWORKS, A MARRIAGE AND FAMILY THERAPY CORPORATION
Entity Type:Organization
Organization Name:SOCAL THERAPYWORKS, A MARRIAGE AND FAMILY THERAPY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MFT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:RACHEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RHOADES
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:760-583-2524
Mailing Address - Street 1:541 LEDGE ST
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-2840
Mailing Address - Country:US
Mailing Address - Phone:760-583-2524
Mailing Address - Fax:760-593-2430
Practice Address - Street 1:541 LEDGE ST
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-2840
Practice Address - Country:US
Practice Address - Phone:760-583-2524
Practice Address - Fax:760-593-2430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty