Provider Demographics
NPI:1447442363
Name:TSB, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:TSB, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:BEECHEL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MFT
Authorized Official - Phone:951-270-4319
Mailing Address - Street 1:22550 ELBOW CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:WILDOMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92595-8499
Mailing Address - Country:US
Mailing Address - Phone:951-270-4319
Mailing Address - Fax:951-834-0389
Practice Address - Street 1:39755 MURRIETA HOT SPRINGS RD
Practice Address - Street 2:D-160
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-9101
Practice Address - Country:US
Practice Address - Phone:951-270-4319
Practice Address - Fax:951-834-0389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT18191101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty