Provider Demographics
NPI:1205415981
Name:DO IT FOR YOURSELF WELLNESS COACHING & MARRIAGE & FAMILY COUNSELING
Entity Type:Organization
Organization Name:DO IT FOR YOURSELF WELLNESS COACHING & MARRIAGE & FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:MICKLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:279-895-4958
Mailing Address - Street 1:2617 K ST STE 250
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5169
Mailing Address - Country:US
Mailing Address - Phone:279-895-4958
Mailing Address - Fax:
Practice Address - Street 1:2617 K ST STE 250
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5169
Practice Address - Country:US
Practice Address - Phone:279-895-4958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty