1477814184 NPI number — MRS. CHERALYNN RENEE SABANKAYA MS, NCC, LPCI

Table of content: MRS. CHERALYNN RENEE SABANKAYA MS, NCC, LPCI (NPI 1477814184)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477814184 NPI number — MRS. CHERALYNN RENEE SABANKAYA MS, NCC, LPCI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SABANKAYA
Provider First Name:
CHERALYNN
Provider Middle Name:
RENEE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, NCC, LPCI
Provider Gender Code:
F

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:
1477814184
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/30/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12125 N OLD STAGE RD
Provider Second Line Business Mailing Address:
SPIRIT AND LOGIC, INC. PERSON CENTERED COUNSELING
Provider Business Mailing Address City Name:
WEED
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
96094-9522
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-859-3155
Provider Business Mailing Address Fax Number:
888-231-3855

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12125 N OLD STAGE RD
Provider Second Line Business Practice Location Address:
SPIRIT AND LOGIC, INC. PERSON CENTERED COUNSELING
Provider Business Practice Location Address City Name:
WEED
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96094-9522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-859-3155
Provider Business Practice Location Address Fax Number:
888-231-3855
Provider Enumeration Date:
05/30/2012

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: 101YM0800X , with the licence number:  R2447 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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