1215689716 NPI number — CARLOS GUERRERO LICENSED CLINICAL SOCIAL WORKER, INSPIRATION POINT COU

Table of content: (NPI 1215689716)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215689716 NPI number — CARLOS GUERRERO LICENSED CLINICAL SOCIAL WORKER, INSPIRATION POINT COU

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARLOS GUERRERO LICENSED CLINICAL SOCIAL WORKER, INSPIRATION POINT COU
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:
INSPIRATION POINT COUNSELING, INC
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:
1215689716
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1130 E CLARK AVE
Provider Second Line Business Mailing Address:
STE 150 # 378
Provider Business Mailing Address City Name:
SANTA MARIA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93455-3479
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-260-5619
Provider Business Mailing Address Fax Number:
805-738-7880

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1414 S MILLER STREET
Provider Second Line Business Practice Location Address:
SUITE P
Provider Business Practice Location Address City Name:
SANTA MARIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-260-5619
Provider Business Practice Location Address Fax Number:
805-738-7880
Provider Enumeration Date:
01/25/2022

Additional Information

Authorized Official

Authorized Official Last Name:
GUERRERO
Authorized Official First Name:
CARLOS
Authorized Official Middle Name:
R
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
805-260-5619

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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