Provider Demographics
NPI:1972942191
Name:CORC FAMILY COUNSELING CORPORATION
Entity type:Organization
Organization Name:CORC FAMILY COUNSELING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:FERREIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:951-318-1351
Mailing Address - Street 1:252 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-4012
Mailing Address - Country:US
Mailing Address - Phone:951-318-1351
Mailing Address - Fax:866-288-5478
Practice Address - Street 1:252 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-4012
Practice Address - Country:US
Practice Address - Phone:951-318-1351
Practice Address - Fax:866-288-5478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-20
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty