1265008536 NPI number — SAGE & SUNSHINE THERAPY, A PROFESSIONAL CLINICAL COUNSELOR CORPORATION

Table of content: (NPI 1265008536)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265008536 NPI number — SAGE & SUNSHINE THERAPY, A PROFESSIONAL CLINICAL COUNSELOR CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAGE & SUNSHINE THERAPY, A PROFESSIONAL CLINICAL COUNSELOR CORPORATION
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:
Provider Other Organization Name Type Code:
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:
1265008536
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/27/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
60 29TH ST # 332
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94110-4929
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-539-8990
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3933 MISSION ST APT 6
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94112-1037
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-539-8990
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2021

Additional Information

Authorized Official

Authorized Official Last Name:
JASEN
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
813-539-8990

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: LPCC7717 . This is a "BOARD OF BEHAVIORAL SCIENCES" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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