1295496644 NPI number — GIANINA CASARENO REIBLING LMFT, RDH

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 1295496644 NPI number — GIANINA CASARENO REIBLING LMFT, RDH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REIBLING
Provider First Name:
GIANINA
Provider Middle Name:
CASARENO
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT, RDH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CASARENO
Provider Other First Name:
GIANINA
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMFT, RDH
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1295496644
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/07/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1615 MOUNT LARSON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78746-2957
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-513-8923
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2631 QUAIL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNION CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94587-3179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-513-8923
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/07/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  128832 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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