Provider Demographics
NPI:1184858722
Name:COUNSELING ASSOCIATES INC
Entity type:Organization
Organization Name:COUNSELING ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:AUSTAIN
Authorized Official - Last Name:SUITER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD/LCSW
Authorized Official - Phone:858-217-7083
Mailing Address - Street 1:12486 RIOS RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2841
Mailing Address - Country:US
Mailing Address - Phone:858-217-7083
Mailing Address - Fax:619-326-8952
Practice Address - Street 1:12486 RIOS RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2841
Practice Address - Country:US
Practice Address - Phone:858-217-7083
Practice Address - Fax:619-326-8952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10391041C0700X
261QM0850X, 261QM0855X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health