| Canyon Consulting Group | |
|
31630 Railroad Canyon Rd Ste 2a Canyon Lake CA 92587-9478 | |
| (951) 485-3357 | |
| Not Available |
| Full Name | Canyon Consulting Group |
|---|---|
| Speciality | Counselor |
| Location | 31630 Railroad Canyon Rd Ste 2a, Canyon Lake, California |
| Authorized Official Name and Position | Anela G Richie (OWNER) |
| Authorized Official Contact | 9514888400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Consulting Group 22663 Buttercup Pl Canyon Lake CA 92587-7818 Ph: (951) 488-8400 | Canyon Consulting Group 31630 Railroad Canyon Rd Ste 2a Canyon Lake CA 92587-9478 Ph: (951) 485-3357 |
| NPI Number | 1023759024 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Medicare PECOS PAC ID | 9335679547 |
|---|---|
| Medicare Enrollment ID | O20250203003136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023759024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Anela Gail Richie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417598822 PECOS PAC ID: 0244760452 Enrollment ID: I20250213000613 |
Bella Vita Children And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31570 Railroad Canyon Rd, Suite 202, Canyon Lake, CA 92587 Phone: 951-757-1528 |