Healthcare Provider Details

I. General information

NPI: 1144981440
Provider Name (Legal Business Name): SANDPIPER COUNSELING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2022
Last Update Date: 01/07/2022
Certification Date: 01/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19712 MACARTHUR BLVD STE 110
IRVINE CA
92612-2407
US

IV. Provider business mailing address

127 ORANGE BLOSSOM
IRVINE CA
92618-4413
US

V. Phone/Fax

Practice location:
  • Phone: 949-874-6857
  • Fax:
Mailing address:
  • Phone: 626-679-5443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: I-TING WANG
Title or Position: OWNER
Credential:
Phone: 949-864-6857