Healthcare Provider Details
I. General information
NPI: 1144809120
Provider Name (Legal Business Name): THERAPY ITS A THING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2021
Last Update Date: 04/06/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10800 HOLE AVE STE 7
RIVERSIDE CA
92505-2759
US
IV. Provider business mailing address
10800 HOLE AVE STE 7
RIVERSIDE CA
92505-2759
US
V. Phone/Fax
- Phone: 951-588-6380
- Fax: 951-588-6546
- Phone: 951-588-6380
- Fax: 951-588-6546
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TP2701X |
| Taxonomy | Group Psychotherapy Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GEOVANNA
ASTURIAS
Title or Position: OWNER
Credential: LSCW
Phone: 951-588-6380