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Contact Information

PROVIDENCE BEHAVIORAL COUNSELING
414 WEST GRAND STREET SUIT 372
CORONA, CA92878
 Phone: 951-625-8800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for PROVIDENCE BEHAVIORAL COUNSELING

NPI Number 1275410128
LBN Legal business name PROVIDENCE BEHAVIORAL COUNSELING
Authorized official GODFREY NWOGENE - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2025
Last updated 08/29/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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