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).
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 |
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 |
Street Address |
107 W MAIN ST STE 9 |
City | VISALIA |
State | CA |
Zip Code | 93291-6274 |
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 |
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 Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
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. |
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 |
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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.