# MIND GAMES FAMILY COUNSELING & THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659185171
- **Authorized official:** RESHAWNDA RICHARDSON (MANAGER)
- **Authorized official phone:** (424) 470-5946

## Contact information

- **Practice address:** 4193 FLAT ROCK DR STE 200-503, RIVERSIDE, CA 92505-7111
- **Practice address phone:** (424) 470-5946
- **Mailing address:** 4193 FLAT ROCK DR STE 200-503, RIVERSIDE, CA 92505-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2025
- **Last updated:** 02/05/2025
