SWEET OAK THERAPY LICENSED CLINICAL NPI 1720902323

NPI Information

  • NPI: 1720902323
  • Provider Name: SWEET OAK THERAPY LICENSED CLINICAL
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1260B 45TH ST
    EMERYVILLE, CA
    ZIP 94608
  • Phone: (510) 345-1474

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NPI Details

SWEET OAK THERAPY LICENSED CLINICAL is a mental health counselor in Emeryville, CA. SWEET OAK THERAPY LICENSED CLINICAL NPI is 1720902323. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1260B 45TH ST
EMERYVILLE, CA
ZIP 94608-907
Phone: (510) 345-1474

The provider's authorized official is Gabrielle Theobald-anderson .
The authorized official title is Owner and has the following contact phone number (510) 345-1474.

The enumeration date for this NPI number is 8/6/2026 and was last updated on 8/6/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

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