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NPI Code Detail

MEDICARE: TRANSFORMING TRAUMA COUNSELING

MEDICARE: TRANSFORMING TRAUMA COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871192724
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSFORMING TRAUMA COUNSELING
Provider Business Mailing Address
First Line : 4624 ARLINGTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-2702
Country : US
Telephone Number : 951-394-0165
Fax Number : 951-534-0642
Provider Business Practice Location Address
First Line : 4624 ARLINGTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-2702
Country : US
Telephone Number : 951-394-0165
Fax Number : 951-534-0642
Authorized Official
Title or Position : OWNER
Name : ALICIA MCCLEOD
Credential : LMFT
Telephone Number : 951-394-0165
Provider Enumeration Date : 10/21/2020
Last Update Date : 07/14/2021

Similar Medicare Providers

1306100102 — MRS. ANNA LILIA VARGAS LMFT
Practice Location Address:
4624 ARLINGTON AVE
RIVERSIDE, CA
92504-2702
Practice Phone: 951-337-7310
Practice Fax: 951-534-0642
1689361123 — TRANSFORMING TRAUMA COUNSELING
Practice Location Address:
4624 ARLINGTON AVE
RIVERSIDE, CA
92504-2702
Practice Phone: 951-394-0167
Practice Fax: 951-788-7075
1285314864 — KIERAN LEWIS MEAD AMFT
Practice Location Address:
4624 ARLINGTON AVE
RIVERSIDE, CA
92504-2702
Practice Phone: 951-394-0165
Practice Fax:
1568204477 — DAWN M. SPENCER MSW, ASW
Practice Location Address:
4624 ARLINGTON AVE
RIVERSIDE, CA
92504-2702
Practice Phone: 951-351-2572
Practice Fax:
1578446100 — DAYLENE ALEXUS MEDINA MSW, ACSW
Practice Location Address:
4624 ARLINGTON AVE
RIVERSIDE, CA
92504-2702
Practice Phone: 951-732-8568
Practice Fax:
1417811472 — MRS. ASHLEY REBECA CORIA
Practice Location Address:
7571 EMERALD ST
RIVERSIDE, CA
92504-4416
Practice Phone: 951-756-3239
Practice Fax:

Directions to “TRANSFORMING TRAUMA COUNSELING ” Practice Location

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