Organization · Type 2 NPI
Broadstreet Counseling Services LLC
Adult Mental Health Clinic/Center · Oakland, CA
NPI number
1053029561
Active
Practice location
2919 Telegraph Ave Apt 303
Oakland, CA 94609-3577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1053029561
Broadstreet Counseling Services LLC's National Provider Identifier is 1053029561, issued on Nov 14, 2022. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Oakland, CA. The record was last updated on Nov 14, 2022.