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EVOLIBRI CONSULTING NPI 1396398640


NPI Information

NPI: 1396398640
Provider Name: EVOLIBRI CONSULTING
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
4655 OLD IRONSIDES DR STE 170
SANTA CLARA, CA
ZIP 95054
Phone: (408) 735-7990
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EVOLIBRI CONSULTING is a marriage family therapist in Santa Clara, 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. EVOLIBRI CONSULTING NPI is 1396398640. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4655 OLD IRONSIDES DR STE 170
SANTA CLARA, CA
ZIP 95054-853
Phone: (408) 735-7990

The provider's authorized official is Jan Johnston Tyler .
The authorized official title is Owner and has the following contact phone number (650) 245-1855.

The enumeration date for this NPI number is 7/16/2019 and was last updated on 7/16/2019.


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 TherapistYes

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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