1083198782 NPI number — VANESSA VILLASENOR LICENSED MARRIAGE AND FAMILY THERAPIST INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083198782 NPI number — VANESSA VILLASENOR LICENSED MARRIAGE AND FAMILY THERAPIST INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VANESSA VILLASENOR LICENSED MARRIAGE AND FAMILY THERAPIST INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
A PLACE OF GROWTH
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083198782
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/20/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
591 CAMINO DE LA REINA STE 802
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92108-3110
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-519-8002
Provider Business Mailing Address Fax Number:
619-684-3788

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
591 CAMINO DE LA REINA STE 802
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92108-3110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-519-8002
Provider Business Practice Location Address Fax Number:
619-684-3788
Provider Enumeration Date:
09/18/2018

Additional Information

Authorized Official

Authorized Official Last Name:
VILLASENOR
Authorized Official First Name:
VANESSA
Authorized Official Middle Name:
DANIELLE
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
858-519-8002

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1073892956 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1578926192 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1669011599 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1922333665 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1093267361 . This is a "NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1699020644 . This is a "NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1821355280 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1548601685 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1942653332 . This is a "NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1245646009 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1265998322 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1285844456 . This is a "NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1356963326 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1639564396 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1699159764 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1093267361 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com