Provider Demographics
NPI:1699491704
Name:CONSCIOUS VOICE COLLABORATIVE
Entity type:Organization
Organization Name:CONSCIOUS VOICE COLLABORATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:510-689-7982
Mailing Address - Street 1:2700 INTERNATIONAL BLVD STE 22
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-1508
Mailing Address - Country:US
Mailing Address - Phone:510-689-7982
Mailing Address - Fax:
Practice Address - Street 1:2700 INTERNATIONAL BLVD STE 22
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-1508
Practice Address - Country:US
Practice Address - Phone:510-689-7982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)