SOUL GRIT MARRIAGE AND FAMILY COUNSELING SERVICES, INC.


Address: 36580 Penfield Ln, Suite 101, Winchester, CA 92596-8610
Phone: 9515277685

SOUL GRIT MARRIAGE AND FAMILY COUNSELING SERVICES, INC. (NPI# 1619409810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619409810
Entity Type Organization
Organization Name SOUL GRIT MARRIAGE AND FAMILY COUNSELING SERVICES, INC.
Practice Address 36580 Penfield Ln
Suite 101
Winchester
CA 92596-8610
Practice Telephone 9515277685
Mailing Telephone 9515277685
Enumeration Date 2017-03-28
Last Update Date 2017-03-28
Authorized Official Name MRS. ANN TAYLOR MCNIECE (PRESIDENT)
Authorized Official Telephone 4083753552
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health MFT87272 CA Agencies

Office Location

Street Address 36580 PENFIELD LN
SUITE 101
City WINCHESTER
State CA
Zip Code 92596-8610

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NPI Name Taxonomy Address Enumeration
1245208834 Rancho Physical Therapy, Inc. Physical Therapist 36580 Penfield Ln, Ste B, Winchester, CA 92596-8624 2006-03-09

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1134597321 Maila Sucaldito Bundalian Registered Nurse 32864 Bachelor Peak Street, Winchester, CA 92596-5201 2015-09-04
1144213091 Sharon Denise Clay Matemavi Nurse Practitioner 34875 Pourroy Rd Apt 1408, Winchester, CA 92596-8184 2005-08-25
1194045823 Maria Celeste Solomon Speech-Language Pathologist 35081 Lone Hill Ct, Winchester, CA 92596-8344 2010-06-04
1790115814 Angie Miller Speech-Language Pathologist 31160 Pinon Pine Cir, Winchester, CA 92596-8353 2013-11-26
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003326596 Lutheran Family Services of Virginia, Inc. Community/Behavioral Health 1548 N Hayfield Rd, Winchester, VA 22603-3420 2017-10-10
1750823043 Crossroads Treatment Center of Winchester, PC Community/Behavioral Health 500 Pegasus Ct, Winchester, VA 22602 2016-11-17
1285181966 Lutheran Family Services of Virginia, Inc. Community/Behavioral Health 4275 Middle Rd, Winchester, VA 22602-2520 2016-09-09
1508310657 Lutheran Family Services of Virginia, Inc. Community/Behavioral Health 2239 Front Royal Pike, Winchester, VA 22602-4731 2016-08-06
1629445507 Qoheleth Counseling LLC Community/Behavioral Health 366 Stony Hill Rd, Winchester, VA 22603-4918 2015-08-27
1427464122 Lutheran Family Services of Virginia, Inc. Community/Behavioral Health 281 Channing Dr, Winchester, VA 22602-7013 2014-07-02
1033525720 Lutheran Family Services of Virginia, Inc Community/Behavioral Health 349 Apple Pie Ridge Rd, Winchester, VA 22603-4311 2014-07-02
1073928875 Lutheran Family Services of Virginia Community/Behavioral Health 4651 N Frederick Pike, Winchester, VA 22603-2838 2014-07-01
1144659657 Lutheran Family Services of Virginia, Inc. Community/Behavioral Health 225 E Pall Mall St, Winchester, VA 22601-4575 2013-11-05
1508101825 Family Preservation Services, Inc. Community/Behavioral Health 444 Shady Elm Rd, Winchester, VA 22602-2523 2012-11-28
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Competitor

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City WINCHESTER
Zip Code 92596

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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