INLAND EMPIRE COMMUNITY OUTREACH CENTER (NPI# 1689210775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689210775 |
| Entity Type | Organization |
| Organization Name | INLAND EMPIRE COMMUNITY OUTREACH CENTER |
| Practice Address |
473 East Carnegie Drive Suite 200 San Bernardino CA 92408 |
| Practice Telephone | 9092699403 |
| Mailing Telephone | 9092699403 |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | MRS. VELVETH MELISSA LOVE (DIRECTOR) |
| Authorized Official Telephone | 9092699403 |
| Authorized Official Credential | B.S. BIOLOGY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INLAND EMPIRE COMMUNITY OUTREACH CENTER | 363 W 6th St Ste 4, San Bernardino, CA 92401-1128 |
| Street Address |
473 EAST CARNEGIE DRIVE SUITE 200 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| 1083196166 | Lobban Marriage and Family Therapy Inc | Marriage & Family Therapist | 473 E. Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2018-09-05 |
| Find all providers in zip 92408 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215547229 | Frank R Rivera | Counselor | 658 E Brier Dr Ste 350, San Bernardino, CA 92408-2875 | 2020-08-04 |
| 1528604501 | Rise Recovery | Counselor | 395 W 17th St, San Bernardino, CA 92405-4409 | 2019-11-25 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1134644115 | Jorge Vasquez | Counselor | 222 W Hospitality Ln, San Bernardino, CA 92415-3536 | 2017-08-10 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1477073377 | Mack William Tolle | Counselor | 321 E Carnegie Dr 210, San Bernardino, CA 92415-3012 | 2017-06-21 |
| 1093247215 | Traci Stockham | Counselor | 1925 W College Ave, Apt 185, San Bernardino, CA 92407-3371 | 2017-03-28 |
| 1760938534 | Michael Anthony Davis I | Counselor | 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 | 2016-08-31 |
| 1770944704 | Cheryl Fox | Counselor | 560 N Arrowhead Ave Ste 1b, San Bernardino, CA 92401-1219 | 2016-03-18 |
| 1346600921 | Latasha Mcdonald | Counselor | 1365 North F Street, San Bernardino, CA 92405-0123 | 2016-02-25 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
Please comment or provide details below to improve the information on INLAND EMPIRE COMMUNITY OUTREACH CENTER.
| 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.