Provider Demographics
NPI:1962973263
Name:INSPIRE COUNSELING GROUP, MARRIAGE AND FAMILY THERAPY CORP.
Entity type:Organization
Organization Name:INSPIRE COUNSELING GROUP, MARRIAGE AND FAMILY THERAPY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VARDUI
Authorized Official - Middle Name:
Authorized Official - Last Name:JINGOZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-554-2600
Mailing Address - Street 1:19360 RINALDI ST # 718
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-1607
Mailing Address - Country:US
Mailing Address - Phone:818-554-2600
Mailing Address - Fax:888-728-4572
Practice Address - Street 1:10718 WHITE OAK AVE STE 6
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-4628
Practice Address - Country:US
Practice Address - Phone:818-554-2600
Practice Address - Fax:888-728-4572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-12
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty