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POSITIVE CHANGE COUNSELING SERVICES A PROFESSIONAL CORPORATION OF MAR NPI 1457668592


NPI Information

NPI: 1457668592
Provider Name: POSITIVE CHANGE COUNSELING SERVICES, A PROFESSIONAL CORPORATION OF MAR
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
2050 PEABODY RD
SUITE 300
VACAVILLE, CA
ZIP 95687
Phone: (707) 446-8600
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POSITIVE CHANGE COUNSELING SERVICES, A PROFESSIONAL CORPORATION OF MAR is a marriage family therapist in Vacaville, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. POSITIVE CHANGE COUNSELING SERVICES, A PROFESSIONAL CORPORATION OF MAR NPI is 1457668592. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2050 PEABODY RD
SUITE 300
VACAVILLE, CA
ZIP 95687-695
Phone: (707) 446-8600
Fax: (707) 446-8100

The provider's authorized official is Carmelita Echo Horne .
The authorized official title is Owner/clinical Director and has the following contact phone number (707) 446-8600.

The enumeration date for this NPI number is 9/10/2010 and was last updated on 12/29/2022.


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
1103TC0700XPsychologistClinicalPSY25655CALIFORNIANo
2106H00000XMarriage & Family TherapistMFC46660CALIFORNIANo
3106H00000XMarriage & Family TherapistIMF85828CALIFORNIANo
4106H00000XMarriage & Family TherapistIMF88962CALIFORNIANo
5106H00000XMarriage & Family TherapistMFC41338CALIFORNIANo
6106H00000XMarriage & Family TherapistNo
7106H00000XMarriage & Family TherapistMFC77756CALIFORNIAYes

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
11972810489OTHERCALIFORNIAMFT INTERN

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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