MISS TAE'A LASHEA AGNEW SUDRC
NPI 1164216370
Counselor - Addiction (Substance Use Disorder) in Escondido, CA

Active since April 04, 2025
200 E WASHINGTON AVE STE 100, ESCONDIDO, CA 92025(760) 741-7708(760) 741-5421 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Tae'a Lashea Agnew Sudrc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS TAE'A LASHEA AGNEW SUDRC (NPI 1164216370) is an individual addiction (substance use disorder) provider in Escondido, California, licensed in California (21053) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1164216370
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS TAE'A LASHEA AGNEWCredential: SUDRC
Location Address200 E WASHINGTON AVE STE 100Escondido, CA 92025-1806
Mailing Address39485 Salinas DrMurrieta, CA 92563-6819 · (760) 718-9350
Fax(760) 741-5421
Sole ProprietorYes
Enumeration DateApril 4, 2025
NPPES CertifiedApril 4, 2025
NPI 1164216370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 21053
200 E WASHINGTON AVE STE 100, Escondido, CA 92025

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Mental Health)
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Case Management
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Marriage & Family Therapist
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Marriage & Family Therapist
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025
Counselor (Addiction (Substance Use Disorder))
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164216370, enumerated as an "individual" on April 04, 2025.

The provider is located at 200 E WASHINGTON AVE STE 100 ESCONDIDO, CA 92025 and the phone number is (760) 741-7708.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).