# TRANSFORMATIONAL FAMILY COUNSELING PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** S.U.P.E.R. Peer Counseling Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154904704
- **Authorized official:** DR. KATHLEEN SARMIENTO DSW, LMFT (LICENSED MFT)
- **Authorized official phone:** (951) 934-8944

## Contact information

- **Practice address:** 3400 CENTRAL AVE STE 215, RIVERSIDE, CA 92506-2175
- **Practice address phone:** (951) 934-8944
- **Practice address fax:** (951) 346-9583
- **Mailing address:** 3400 CENTRAL AVE STE 215, RIVERSIDE, CA 92506-2176
- **Mailing address phone:** (951) 934-8944
- **Mailing address fax:** (951) 346-9583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2021
- **Last updated:** 11/30/2022
