Provider Demographics
NPI:1316263023
Name:INWARD JOURNEYS COUNSELING CENTER
Entity type:Organization
Organization Name:INWARD JOURNEYS COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:TANZINI
Authorized Official - Suffix:
Authorized Official - Credentials:MFC
Authorized Official - Phone:909-596-4212
Mailing Address - Street 1:2435 PINE ST
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2179
Mailing Address - Country:US
Mailing Address - Phone:909-596-4212
Mailing Address - Fax:909-596-4218
Practice Address - Street 1:2435 PINE ST
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2179
Practice Address - Country:US
Practice Address - Phone:909-596-4212
Practice Address - Fax:909-596-4218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty