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REDWOOD COMMUNITY SERVICES INC. NPI 1285772251


NPI Information

NPI: 1285772251
Provider Name: REDWOOD COMMUNITY SERVICES, INC.

Other Name: INTERPERSONAL SKILLS TRAINING CENTER (ISTC)

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
6150 ORR SPRINGS RD
UKIAH, CA
ZIP 95482
Phone: (707) 462-5056
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REDWOOD COMMUNITY SERVICES, INC. is a mental health counselor in Ukiah, CA. REDWOOD COMMUNITY SERVICES, INC. NPI is 1285772251. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Interpersonal Skills Training Center (istc).

The provider's business location address is:

6150 ORR SPRINGS RD
UKIAH, CA
ZIP 95482-032
Phone: (707) 462-5056
Fax: (707) 462-5205

The provider's authorized official is Victoria Jersuha Kelly .
The authorized official title is Chief Executive Officer and has the following contact phone number (707) 462-2010.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 1/21/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthYes
3106H00000XMarriage & Family TherapistNo
4171M00000XCase Manager/Care CoordinatorNo
5251B00000XCase ManagementNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
123BBOTHERCALIFORNIAMENDOCINO CO MH SITE #
249EF1OTHERCALIFORNIASONOMA CO PROVIDER NO.
301234708MEDICAIDCALIFORNIA

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: 4/28/2024

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