East Bay Family Therapy

LBN: East Bay Family Therapy
East Bay Family Therapy is an health care organization with primary practice located at 1600 S Main St Suite 225, Walnut Creek CA 94596-5340. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. East Bay Family Therapy can be contacted via phone (925) 325-5022, or through Komori Stager, Marc D. via phone (925) 325-5022.

Contact Information

Primary practice address
1600 S Main St Suite 225 Walnut Creek CA 94596-5340
Phone: (925) 325-5022
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Komori Stager, Marc D. PSY.D.
Phone: (925) 325-5022

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY21734 California

Profile Details

NPI number 1952684763
LBN Legal business name East Bay Family Therapy
DBA Doing business as
Authorized official Komori Stager, Marc D. PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2011
Last updated Sep 28th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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