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SERENITY EATING DISORDER CLINIC OF CENTRAL CALIFORNIA NPI 1730317215


NPI Information

NPI: 1730317215
Provider Name: SERENITY EATING DISORDER CLINIC OF CENTRAL CALIFORNIA
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
29613 JIM BOWIE CT
COARSEGOLD, CA
ZIP 93614
Phone: (559) 760-5285
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SERENITY EATING DISORDER CLINIC OF CENTRAL CALIFORNIA is a marriage family therapist in Coarsegold, 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. SERENITY EATING DISORDER CLINIC OF CENTRAL CALIFORNIA NPI is 1730317215. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29613 JIM BOWIE CT
COARSEGOLD, CA
ZIP 93614-686
Phone: (559) 760-5285

The provider's authorized official is Jennifer Suzanne Mitchell .
The authorized official title is Founder and has the following contact phone number (559) 760-5285.

The enumeration date for this NPI number is 6/23/2009 and was last updated on 6/23/2009.


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 Therapist41576CALIFORNIAYes

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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