EMBLAZE FAMILY THERAPY INC


Address: 107 W Main St Ste 9, Visalia, CA 93291-6274
Phone: 6618177745

EMBLAZE FAMILY THERAPY INC (NPI# 1881233047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881233047
Entity Type Organization
Organization Name EMBLAZE FAMILY THERAPY INC
Practice Address 107 W Main St Ste 9
Visalia
CA 93291-6274
Practice Telephone 6618177745
Practice Fax Number 8662191310
Mailing Telephone 6618177745
Mailing Fax Number 8662191310
Enumeration Date 2020-01-04
Last Update Date 2020-01-04
Authorized Official Name MISS KELLEY LEWIS (CLINICAL DIRECTOR)
Authorized Official Telephone 6618177745
Authorized Official Credential LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Office Location

Street Address 107 W MAIN ST STE 9
City VISALIA
State CA
Zip Code 93291-6274

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194242248 Onyx Family Counseling Services, Professional Corporation Counselor 107 W Main St Ste 9, Visalia, CA 93291-6274 2017-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255964854 Stephanie Janae Ybarra Orthotist 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 2020-02-21
1689223067 Patricia Mari Marquez Technician 32481 Road 127, Visalia, CA 93291 2019-09-09
1942767710 Jeremy Clifton Mccallister Counselor 120 W. School Ave., Visalia, CA 93291 2019-02-27
1568975290 Kaweah Delta Health Care District Clinic/Center 3600 Flagstaff Avenue, Visalia, CA 93291 2017-11-16
1932625308 Christina Gonzalez Counselor New Hope, 212 N. Stevenson, Visalia, CA 93291 2017-08-17
1629598545 Estherose Molina Assistant Behavior Analyst 5445 W. Sweet Drive, Visalia, CA 93291 2017-06-21
1487195988 Brenda Rodriguez Case Manager/Care Coordinator 546 East Tulare Ave, Visalia, CA 93291 2017-03-16
1295181857 David James Tsuneji Fujihara Emergency Medicine 400 W. Mineral King Ave, Visalia, CA 93291 2016-05-12
1326409343 Bay Area Surgical Specialists, Inc A Medical Corporation Pain Medicine 5127 W Noble Ave, Visalia, CA 93291 2016-03-18
1932585700 Charles Dominick Trentacosti Occupational Therapy Assistant 514 N Bridge St, Visalia, CA 93291 2015-08-04
Find all providers in zip 93291

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578191565 Deborah Mcgee Millner Marriage & Family Therapist 520 E. Tulare Avenue, Visalia, CA 93292 2020-03-27
1407494511 Sarah Chavez Marriage & Family Therapist 1505 N Dinuba Blvd, Visalia, CA 93291-2910 2019-12-19
1780246264 Silvia Villegas-cadena Marriage & Family Therapist 501 S Watson St, Visalia, CA 93277-2641 2019-07-03
1093242950 Dennis Hunt Marriage & Family Therapist 2426 S Sallee St, Visalia, CA 93277-6188 2017-05-22
1275075350 John Dias Marriage & Family Therapist 561 S Pinkham St Ste D, Visalia, CA 93292-1514 2016-11-07
1083074694 Katie M Molano Marriage & Family Therapist 4144 S Demaree St Ste A, Visalia, CA 93277-9514 2016-02-25
1467860577 Kathy Jill Looper Marriage & Family Therapist 309 W Main St Ste 105, Visalia, CA 93291-6257 2014-08-01
1114267630 Erik Knudsen Marriage & Family Therapist 100 N Akers St # 7492, Visalia, CA 93291-5121 2013-02-20
1386998896 Rachel Mary Jane Leos Marriage & Family Therapist 3120 W Main St Ste E, Visalia, CA 93291-5764 2012-11-06
1902166457 Seng Leang Tang-hignojoz Marriage & Family Therapist 204 E Oak Ave Ste 7, Visalia, CA 93291-5093 2012-05-17
Find all providers in VISALIA

Competitor

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City VISALIA
Zip Code 93291

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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