Healthcare Provider Details

I. General information

NPI: 1396102125
Provider Name (Legal Business Name): CAULFIELD COUNSELING AND EDUCATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2016
Last Update Date: 01/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E TAHQUITZ CANYON WAY SUITE # B-117
PALM SPRINGS CA
92262-6788
US

IV. Provider business mailing address

1111 E TAHQUITZ CANYON WAY SUITE # B-117
PALM SPRINGS CA
92262-6788
US

V. Phone/Fax

Practice location:
  • Phone: 760-320-3838
  • Fax: 760-320-3733
Mailing address:
  • Phone: 760-320-3838
  • Fax: 760-320-3733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT85729
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT83799
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF86343
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT14452
License Number StateCA

VIII. Authorized Official

Name: DAVID CAULFIELD
Title or Position: OWNER
Credential: LMFT
Phone: 760-320-3838