Imani Christian Counseling Services, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

80569 Issued in CA

Legal business name

IMANI CHRISTIAN COUNSELING SERVICES, LLC

Practice address

5651 N Pershing Ave
C-5
Stockton, CA 95207-4947

Phone

(209) 475-8428

Fax

(209) 475-8479

NPI assigned

Jul 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sharmaine D Barnes, LMFT

Title

Owner

Phone

(209) 475-8428

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1992111660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 N PERSHING AVE",
            "address_2": "C-5",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074947",
            "telephone_number": "209-475-8428",
            "fax_number": "209-475-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 N PERSHING AVE",
            "address_2": "C-5",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074947",
            "telephone_number": "209-475-8428",
            "fax_number": "209-475-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI CHRISTIAN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SHARMAINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-475-8428",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.