Good Shepherd Counseling Clinic

LBN: Good Shepherd Counseling Clinic
Good Shepherd Counseling Clinic is an health care organization with primary practice located at 30713 Riverside Dr Suite 203, Lake Elsinore CA 92530-4714. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Good Shepherd Counseling Clinic can be contacted via phone (951) 678-1642, or through Kell, Susan Marie via phone (951) 678-1642.

Contact Information

Primary practice address
30713 Riverside Dr Suite 203 Lake Elsinore CA 92530-4714
Phone: (951) 678-1642
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kell, Susan Marie PSYD, MFT
Phone: (951) 678-1642

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFC39965 California

Profile Details

NPI number 1649591520
LBN Legal business name Good Shepherd Counseling Clinic
DBA Doing business as
Authorized official Kell, Susan Marie PSYD, MFT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2010
Last updated Jun 15th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649591520 NPPES
California Other ZZZ54304Y BLUESHIELD

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