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EMBODIED ECOLOGY GROUP NPI 1346776226


NPI Information

NPI: 1346776226
Provider Name: EMBODIED ECOLOGY GROUP

Doing Business As: THE CENTER

Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
2425 PORTER ST STE 7
SOQUEL, CA
ZIP 95073
Phone: (831) 464-1419
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EMBODIED ECOLOGY GROUP is a marriage family therapist in Soquel, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. EMBODIED ECOLOGY GROUP NPI is 1346776226. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Center.

The provider's business location address is:

2425 PORTER ST STE 7
SOQUEL, CA
ZIP 95073-454
Phone: (831) 464-1419
Fax: (831) 476-7529

The provider's authorized official is Langdon Se Roberts .
The authorized official title is Ceo and has the following contact phone number (831) 239-6353.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 12/11/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist80304CALIFORNIAYes
2106H00000XMarriage & Family TherapistNo
3174H00000XHealth EducatorNo
4172M00000XMechanotherapist50028CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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