A NEW CREATION CHILD INDIVIDUAL & FAMILY COUNSELING TREATMENT CENTER NPI 1992179360

NPI Information

  • NPI: 1992179360
  • Provider Name: A NEW CREATION CHILD, INDIVIDUAL & FAMILY COUNSELING TREATMENT CENTER
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 23800 SUNNYMEAD BLVD STE D
    MORENO VALLEY, CA
    ZIP 92553
  • Phone: (310) 420-5341

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NPI Details

A NEW CREATION CHILD, INDIVIDUAL & FAMILY COUNSELING TREATMENT CENTER is a mental health (including community mental health center) clinic center in Moreno Valley, CA. A NEW CREATION CHILD, INDIVIDUAL & FAMILY COUNSELING TREATMENT CENTER NPI is 1992179360. The provider is registered as an organization entity type.

The provider's business location address is:

23800 SUNNYMEAD BLVD STE D
MORENO VALLEY, CA
ZIP 92553-731
Phone: (310) 420-5341
Fax: (888) 313-0140

The provider's authorized official is Paulette Douglas .
The authorized official title is President & Ceo and has the following contact phone number (310) 963-7174.

The enumeration date for this NPI number is 11/22/2015 and was last updated on 3/25/2019.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)LMFT 49399CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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