Grey Space Therapy, Lcsw Professional Corporation
NPI 1174238190 · Clinical Social Worker · Riverside, CA
Grey Space Therapy, Lcsw Professional Corporation is a Clinical Social Worker organization in Riverside, CA (NPI 1174238190).
Provider details
- NPI number
- 1174238190
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Fabiola Pacheco, Founder(714) 749-5554
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-01-16
- Last updated
- 2023-01-16
- Certified
- 2023-01-14
Frequently asked questions
- What is Grey Space Therapy, Lcsw Professional Corporation's NPI number?
- Grey Space Therapy, Lcsw Professional Corporation's National Provider Identifier (NPI) is 1174238190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grey Space Therapy, Lcsw Professional Corporation?
- Grey Space Therapy, Lcsw Professional Corporation is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Grey Space Therapy, Lcsw Professional Corporation located?
- Grey Space Therapy, Lcsw Professional Corporation's practice location on file with NPPES is 5055 Canyon Crest Dr Ste 216, Riverside, CA 92507-6015.
- What is Grey Space Therapy, Lcsw Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Grey Space Therapy, Lcsw Professional Corporation is (714) 749-5554.
- Who is the authorized official for Grey Space Therapy, Lcsw Professional Corporation?
- The authorized official listed on Grey Space Therapy, Lcsw Professional Corporation's NPPES record is Fabiola Pacheco, Founder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grey Space Therapy, Lcsw Professional Corporation's NPI active?
- Yes — Grey Space Therapy, Lcsw Professional Corporation's NPI (1174238190) is active in the NPPES registry as of the last update on 2023-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.