INDIVIDUAL AND FAMILY COUNSELING CLINIC FOR HEALING AND CHANGE NPI 1205552031

NPI Information

NPI: 1205552031
Provider Name: INDIVIDUAL AND FAMILY COUNSELING CLINIC FOR HEALING AND CHANGE
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3120 O ST
SACRAMENTO, CA
ZIP 95816
Phone: (209) 406-0445
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INDIVIDUAL AND FAMILY COUNSELING CLINIC FOR HEALING AND CHANGE is a mental health counselor in Sacramento, CA. INDIVIDUAL AND FAMILY COUNSELING CLINIC FOR HEALING AND CHANGE NPI is 1205552031. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3120 O ST
SACRAMENTO, CA
ZIP 95816-519
Phone: (209) 406-0445

The provider's authorized official is Lindsay Conner .
The authorized official title is Cfo and has the following contact phone number (209) 406-0445.

The enumeration date for this NPI number is 10/13/2022 and was last updated on 5/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1679843270	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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