# EUDAI BEHAVIORAL HEALTH & FAMILY THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eudai Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588263594
- **Authorized official:** MS. SHERYLL PRINZ-MCMILLAN LMFT (CEO)
- **Authorized official phone:** (909) 312-0607

## Contact information

- **Practice address:** 473 E. CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
- **Practice address phone:** (909) 312-0607
- **Mailing address:** 473 E. CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
- **Mailing address phone:** (909) 312-0607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 101YS0200X | School Counselor | — | NULL | — |
| 101YS0200X | School Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2020
- **Last updated:** 10/21/2020