NPI | 1710550918 |
---|---|
Doing Business As | LIFE BY DESIGN THERAPY |
Entity Type | Organization |
Authorized Contact | MELODY WRIGHT President 510-646-0046 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2021-07-23 |
Last Update Date | 2021-07-23 |