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CANVAS OF LIFE FAMILY COUNSELING SERVICES PROFESSIONAL CORPORATION NPI 1992240279


NPI Information

NPI: 1992240279
Provider Name: CANVAS OF LIFE FAMILY COUNSELING SERVICES PROFESSIONAL CORPORATION
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
6820 INDIANA AVE
STE. 240
RIVERSIDE, CA
ZIP 92506
Phone: (951) 777-8176
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CANVAS OF LIFE FAMILY COUNSELING SERVICES PROFESSIONAL CORPORATION is a marriage family therapist in Riverside, 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. CANVAS OF LIFE FAMILY COUNSELING SERVICES PROFESSIONAL CORPORATION NPI is 1992240279. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6820 INDIANA AVE
STE. 240
RIVERSIDE, CA
ZIP 92506-202
Phone: (951) 777-8176
Fax: (951) 888-9049

The provider's authorized official is Lisa M Carrillo .
The authorized official title is Director and has the following contact phone number (951) 777-8176.

The enumeration date for this NPI number is 12/22/2016 and was last updated on 12/22/2016.


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
1106H00000XMarriage & Family Therapist77468CALIFORNIAYes

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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