<Unavail>

LBN: Fresno Family Therapy
<Unavail> is an health care organization with primary practice located at 745 E Locust Ave Ste 106 , Fresno CA 93720-3000. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Fresno Family Therapy can be contacted via phone (559) 795-5990, or through Moultrie, Daniel via phone (559) 285-6364.

Contact Information

Primary practice address
745 E Locust Ave Ste 106 Fresno CA 93720-3000
Phone: (559) 795-5990
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moultrie, Daniel LMFT
Phone: (559) 285-6364

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 104484 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 105969 California

Profile Details

NPI number 1174016240
LBN Legal business name Fresno Family Therapy
DBA Doing business as <Unavail>
Authorized official Moultrie, Daniel LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2018
Last updated Apr 14th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174016240 NPPES
Other UNKNOWN UNKNOWN

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