Provider Demographics
NPI:1558106245
Name:DESERT INSIGHTS COUNSELING LLC
Entity type:Organization
Organization Name:DESERT INSIGHTS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:ERLENBUSH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:949-603-2314
Mailing Address - Street 1:1775 E. PALM CANYON DRIVE
Mailing Address - Street 2:110-1093
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262
Mailing Address - Country:US
Mailing Address - Phone:949-603-2314
Mailing Address - Fax:949-619-8133
Practice Address - Street 1:2150 E TAHQUITZ CANYON WAY STE 5
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6817
Practice Address - Country:US
Practice Address - Phone:949-603-2324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty