Provider Demographics
NPI:1699331462
Name:VIRGINIA BALDIOLI FAMILY COUNSELING
Entity type:Organization
Organization Name:VIRGINIA BALDIOLI FAMILY COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST / DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDIOLI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-786-2079
Mailing Address - Street 1:6850 VAN NUYS BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4629
Mailing Address - Country:US
Mailing Address - Phone:818-786-2079
Mailing Address - Fax:818-304-0714
Practice Address - Street 1:6850 VAN NUYS BLVD STE 202
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4629
Practice Address - Country:US
Practice Address - Phone:818-786-2079
Practice Address - Fax:818-304-0714
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIRGINIA BALDIOLI FAMILY COUNSELING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA942895Medicaid
CA491692Medicaid