Healthcare Provider Details

I. General information

NPI: 1740192871
Provider Name (Legal Business Name): STRATEGY TRANSITIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11762 DE PALMA RD
CORONA CA
92883-4010
US

IV. Provider business mailing address

186 E SHELDON ST # 1048
PRESCOTT AZ
86301-3114
US

V. Phone/Fax

Practice location:
  • Phone: 916-870-6828
  • Fax: 916-870-6828
Mailing address:
  • Phone: 916-870-6828
  • Fax: 916-870-6828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL IAN GOLDSTEIN
Title or Position: MANAGER
Credential:
Phone: 916-870-6828