Provider Type Icon

DEEP WELLNESS CENTER CHILD & FAMILY INC NPI 1760865794


NPI Information

NPI: 1760865794
Provider Name: DEEP WELLNESS CENTER CHILD & FAMILY INC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
5815 STODDARD RD STE 600
MODESTO, CA
ZIP 95356
Phone: (209) 665-6857
Get Directions

DEEP WELLNESS CENTER CHILD & FAMILY INC is a marriage family therapist in Modesto, 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. DEEP WELLNESS CENTER CHILD & FAMILY INC NPI is 1760865794. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5815 STODDARD RD STE 600
MODESTO, CA
ZIP 95356-041
Phone: (209) 665-6857

The provider's authorized official is Ramandeep Dhaliwal .
The authorized official title is Marriage & Family Therapist and has the following contact phone number (209) 665-6857.

The enumeration date for this NPI number is 7/8/2015 and was last updated on 7/8/2015.


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
1101Y00000XCounselorCALIFORNIANo
2101YM0800XCounselorMental HealthCALIFORNIANo
3103TC0700XPsychologistClinicalCALIFORNIANo
41041C0700XSocial WorkerClinicalCALIFORNIANo
5106H00000XMarriage & Family TherapistLMFT 52611CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.