SHEEPDOG FITNESS LLC NPI 1790337848

NPI Information

NPI: 1790337848
Provider Name: SHEEPDOG FITNESS, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
34207 PACIFIC COAST HWY STE A
DANA POINT, CA
ZIP 92629
Phone: (949) 291-1283
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SHEEPDOG FITNESS, LLC is an adult mental health clinic center in Dana Point, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SHEEPDOG FITNESS, LLC NPI is 1790337848. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

34207 PACIFIC COAST HWY STE A
DANA POINT, CA
ZIP 92629-849
Phone: (949) 291-1283

The provider's authorized official is Jennifer Ann Telford .
The authorized official title is President and has the following contact phone number (949) 291-1283.

The enumeration date for this NPI number is 7/9/2019 and was last updated on 7/9/2019.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

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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