DIVERSIFIED BEHAVIORAL HEALTH A PROFESSIONAL CLINICAL COUNSELOR CORPO NPI 1598365942

NPI Information

NPI: 1598365942
Provider Name: DIVERSIFIED BEHAVIORAL HEALTH, A PROFESSIONAL CLINICAL COUNSELOR CORPO
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
26040 ACERO STE 207
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 842-8595
Get Directions

DIVERSIFIED BEHAVIORAL HEALTH, A PROFESSIONAL CLINICAL COUNSELOR CORPO is a mental health counselor in Mission Viejo, CA. DIVERSIFIED BEHAVIORAL HEALTH, A PROFESSIONAL CLINICAL COUNSELOR CORPO NPI is 1598365942. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

26040 ACERO STE 207
MISSION VIEJO, CA
ZIP 92691-768
Phone: (949) 842-8595

The provider's authorized official is Wendy Boring-bray .
The authorized official title is President and has the following contact phone number (949) 842-8595.

The enumeration date for this NPI number is 10/26/2020 and was last updated on 11/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1699028134	OTHER		NPPES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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