Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrative Therapy Licensed Clinical Social Worker S-Corp

Organization Mental Health Counselor · NPI 1811830342

Integrative Therapy Licensed Clinical Social Worker S-Corp is a Mental Health Counselor in Eastvale, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

13329 Bashkir St
Eastvale, CA 92880-3945
Phone: (951) 547-2844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1811830342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Priscilla Vado — Owner · (951) 547-2844
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address1801 Town And Country Dr Unit 36, Norco, CA 92860-8102

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