Provider Demographics
NPI:1952935124
Name:BLUEPRINT COUNSELING SOLUTIONS A MARRIAGE AND FAMILY THERAPY CORP
Entity type:Organization
Organization Name:BLUEPRINT COUNSELING SOLUTIONS A MARRIAGE AND FAMILY THERAPY CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LATISHA
Authorized Official - Middle Name:HILL
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:209-640-4739
Mailing Address - Street 1:864 GRAND AVE # 935
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-3906
Mailing Address - Country:US
Mailing Address - Phone:619-844-1345
Mailing Address - Fax:619-354-7193
Practice Address - Street 1:1455 FRAZEE RD SUITE 500
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108
Practice Address - Country:US
Practice Address - Phone:619-844-1345
Practice Address - Fax:619-354-7193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty