Banyan Group
Counselor, Mental Health in Beaumont, CA. Organization (NPI-2).
NPI number1992198543
StatusActive
Last updated in NPPESApr 6, 2015
Details
- NPI
- 1992198543
- Entity type
- Organization (NPI-2)
- Legal business name
- Banyan Group
- Organization subpart
- No
- Enumeration date
- Mar 6, 2015
- Last updated
- Apr 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 64658 | CA | Yes |
Other names
- The Banyan Group, INC., Counseling, Coaching And Consulting (Other Name)
Practice location
372 E 7th StBeaumont, CA 92223-2261
Phone 951-845-4073 · Fax 201-353-8530
Mailing address
372 E 7th StBeaumont, CA 92223-2261
Phone 951-845-4073 · Fax 201-353-8530
Authorized official
Danece Renee Stapleton
President; Director Of Counseling
9518454073
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