Grey Space Therapy, Lcsw Professional Corporation

LBN: Grey Space Therapy, Lcsw Professional Corporation
Grey Space Therapy, Lcsw Professional Corporation is an health care organization with primary practice located at 5055 Canyon Crest Dr Ste 216 , Riverside CA 92507-6015. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Grey Space Therapy, Lcsw Professional Corporation can be contacted via phone (714) 749-5554, or through Pacheco, Fabiola via phone (714) 749-5554.

Contact Information

Primary practice address
5055 Canyon Crest Dr Ste 216 Riverside CA 92507-6015
Phone: (714) 749-5554
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pacheco, Fabiola Licensed Clinical Social Worker (LCSW)
Phone: (714) 749-5554

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1174238190
LBN Legal business name Grey Space Therapy, Lcsw Professional Corporation
DBA Doing business as
Authorized official Pacheco, Fabiola Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2023
Last updated Jan 16th, 2023 - about last year

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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