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JACOB JOSEPH AND JABEZ FAMILY COUNSELING AND PROFESSIONAL SERVICES GRO NPI 1558880260


NPI Information

NPI: 1558880260
Provider Name: JACOB JOSEPH AND JABEZ FAMILY COUNSELING AND PROFESSIONAL SERVICES GRO

Doing Business As: JACOB JOSEPH AND JABEZ FAMILY COUNSELING AND PROFESSIONAL SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
325 W HOSPITALITY LN STE 110
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 332-7707
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JACOB JOSEPH AND JABEZ FAMILY COUNSELING AND PROFESSIONAL SERVICES GRO is a community behavioral health in San Bernardino, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. JACOB JOSEPH AND JABEZ FAMILY COUNSELING AND PROFESSIONAL SERVICES GRO NPI is 1558880260. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Jacob Joseph And Jabez Family Counseling And Professional Services.

The provider's business location address is:

325 W HOSPITALITY LN STE 110
SAN BERNARDINO, CA
ZIP 92408-210
Phone: (909) 332-7707
Fax: (951) 823-5507

The provider's authorized official is La Cena Lachelle Jones .
The authorized official title is Ceo/ Marriage Family Therapist and has the following contact phone number (310) 213-0944.

The enumeration date for this NPI number is 9/13/2017 and was last updated on 6/8/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2106H00000XMarriage & Family TherapistNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5101YM0800XCounselorMental HealthNo
6251S00000XCommunity/Behavioral HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.