Healthcare Provider Details

I. General information

NPI: 1982374799
Provider Name (Legal Business Name): OMID COUNSELING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3451 W SHAW AVE
FRESNO CA
93711-3242
US

IV. Provider business mailing address

3451 W SHAW AVE
FRESNO CA
93711-3242
US

V. Phone/Fax

Practice location:
  • Phone: 559-202-3423
  • Fax:
Mailing address:
  • Phone: 559-492-8327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NAVJOT GREWAL
Title or Position: CO-OWNER
Credential:
Phone: 559-260-6754